MEDICARE: MENELAOS LIULIAS OD

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	152W00000X	Optometrist	OEG001284	PA

General Provider Information

NPI Number	:	1316109044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENELAOS LIULIAS OD

Provider Business Mailing Address
First Line	:	PO BOX 15205
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-0205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 VILLAGE CENTER DR
Second Line	:
City	:	TARENTUM
State	:	PA
Zip	:	15084-3844
Country	:	US
Telephone Number	:	724-274-0276
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPTOMETRIST
Name	:	DR. MENELAOS LIULIAS
Credential	:	OD
Telephone Number	:	724-612-3711

Provider Enumeration Date	:	06/25/2008
Last Update Date	:	06/25/2008

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