Healthcare Provider Details

I. General information

NPI: 1487788782
Provider Name (Legal Business Name): VISION OFFICE MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 05/19/2020
Certification Date: 05/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2639 BROWNSVILLE RD
PITTSBURGH PA
15227-2005
US

IV. Provider business mailing address

1181 HILLCREST AVE
PITTSBURGH PA
15220-3023
US

V. Phone/Fax

Practice location:
  • Phone: 412-881-4242
  • Fax: 412-881-4252
Mailing address:
  • Phone: 412-881-4242
  • Fax: 412-881-4252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number068149L
License Number StatePA

VIII. Authorized Official

Name: MR. RAY BURT MILLER
Title or Position: OFFICE MANAGER
Credential:
Phone: 412-881-4242