Healthcare Provider Details

I. General information

NPI: 1306024468
Provider Name (Legal Business Name): SOSNIAK OPTICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2008
Last Update Date: 01/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 LIBERTY AVE 410
PITTSBURGH PA
15222-3511
US

IV. Provider business mailing address

717 LIBERTY AVE 410
PITTSBURGH PA
15222-3511
US

V. Phone/Fax

Practice location:
  • Phone: 412-281-9210
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. ALLEN M SOSNIAK
Title or Position: OWNER
Credential:
Phone: 412-281-9199