=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841780145
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARLA MICHELLE CRAWFORD OD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/14/2018
-----------------------------------------------------
Last Update Date | 11/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5889 FORBES AVE
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15217-1660
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-422-5300
-----------------------------------------------------
Fax | 412-422-5360
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 925 BRIDGEWATER DR
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15216-1705
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-605-9660
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | OEG003400
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------