Healthcare Provider Details

I. General information

NPI: 1538371026
Provider Name (Legal Business Name): MATOUS OPTICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 PERRY HIGHWAY RM. 102
PITTSBURGH PA
15237-2142
US

IV. Provider business mailing address

1130 PERRY HIGHWAY RM. 102
PITTSBURGH PA
15237-2142
US

V. Phone/Fax

Practice location:
  • Phone: 412-364-1983
  • Fax:
Mailing address:
  • Phone: 412-364-1983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: THOMAS MICHAEL BARRETT
Title or Position: OWNER
Credential:
Phone: 412-364-1983