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General NPI Number Information
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NPI Number | 1639175045
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN OPHTHALMOLOGY LTD
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 11/11/2011
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Provider Practice Location Address
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Address Line | 9970 MOUNTAIN VIEW DR SUITE 200
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City | WEST MIFFLIN
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State | PA
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Zip | 15122-2474
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Country | US
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Telephone | 412-655-4764
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Fax | 412-653-3580
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Provider Business Mailing Address
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Address Line | PO BOX 644214
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City | PITTSBURGH
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State | PA
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Zip | 15264-4214
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Country | US
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Telephone | 412-653-3080
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Fax | 412-650-8860
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. MICHAEL J LUTZ
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Credential |
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Telephone | 412-653-3080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MC938162C
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | MC938162C
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MC938162C
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License Number State | PA
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