Healthcare Provider Details

I. General information

NPI: 1093705733
Provider Name (Legal Business Name): A-BOSS OPTICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 03/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

938 BROOKLINE BLVD
PITTSBURGH PA
15226-2106
US

IV. Provider business mailing address

938 BROOKLINE BLVD
PITTSBURGH PA
15226-2106
US

V. Phone/Fax

Practice location:
  • Phone: 412-561-0811
  • Fax: 412-563-0759
Mailing address:
  • Phone: 412-561-0811
  • Fax: 412-563-0759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: MS. LINDA M BOSS
Title or Position: V PRES
Credential:
Phone: 412-561-0811