MEDICARE: MEDICAL & SURGICAL EYE ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1013940063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL & SURGICAL EYE ASSOCIATES INC

Provider Business Mailing Address
First Line	:	2400 ARDMORE BLVD
Second Line	:	SUITE 201
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-5299
Country	:	US
Telephone Number	:	412-351-2017
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 ARDMORE BLVD
Second Line	:	SUITE 201
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-5299
Country	:	US
Telephone Number	:	412-351-2017
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN M MIKULLA
Credential	:	MD
Telephone Number	:	412-351-3062

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	05/08/2013

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