Healthcare Provider Details

I. General information

NPI: 1609064815
Provider Name (Legal Business Name): EAGLE EYES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2007
Last Update Date: 10/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6511 STEUBENVILLE PIKE
PITTSBURGH PA
15205-1005
US

IV. Provider business mailing address

1001 E ENTRY DR SUITE 333
PITTSBURGH PA
15216-2943
US

V. Phone/Fax

Practice location:
  • Phone: 412-787-0200
  • Fax:
Mailing address:
  • Phone: 412-344-1300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: NORMAN CHILDS
Title or Position: PRESIDENT
Credential:
Phone: 412-344-1300