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NPI Code Detail

MEDICARE: JAMES W MAHRAMAS JR. O.D.

MEDICARE:   JAMES W MAHRAMAS JR. O.D.
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
1152W00000XOptometristOEG001398PA

General Provider Information

NPI Number : 1093878795
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES W MAHRAMAS JR. O.D.
Provider Business Mailing Address
First Line : 301 S HILLS VLG # 2264-A
Second Line : VISIONWORKS
City : PITTSBURGH
State : PA
Zip : 15241-1400
Country : US
Telephone Number : 412-833-5675
Fax Number : 419-833-5747
Provider Business Practice Location Address
First Line : 301 S HILLS VLG # 2264-A
Second Line : VISIONWORKS
City : PITTSBURGH
State : PA
Zip : 15241-1400
Country : US
Telephone Number : 412-833-5675
Fax Number : 412-833-5747
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 11/30/2016

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