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NPI Code Detail

MEDICARE: FORT COUCH EYE CARE ASSOCIATES, P.C.

MEDICARE: FORT COUCH EYE CARE ASSOCIATES, P.C.
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
1152W00000XOptometristOEG000130PA
2152W00000XOptometristOEG001103PA

General Provider Information

NPI Number : 1679529259
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORT COUCH EYE CARE ASSOCIATES, P.C.
Provider Business Mailing Address
First Line : 7189 SALTSBURG RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15235-2252
Country : US
Telephone Number : 412-704-7941
Fax Number : 412-704-7589
Provider Business Practice Location Address
First Line : 7189 SALTSBURG RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15235-2252
Country : US
Telephone Number : 412-704-7941
Fax Number : 412-704-7589
Authorized Official
Title or Position : OPTOMETRIST/VICE PRESIDENT
Name : DR. JAMES F HUBER
Credential : O.D.
Telephone Number : 412-704-7941
Provider Enumeration Date : 05/26/2006
Last Update Date : 07/25/2012

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