MEDICARE: VISIONMAKERS OF PA

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	156FX1800X	Optician

General Provider Information

NPI Number	:	1902815053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISIONMAKERS OF PA

Provider Business Mailing Address
First Line	:	1934 PARK MANOR BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-4809
Country	:	US
Telephone Number	:	412-788-4664
Fax Number	:	412-788-6003

Provider Business Practice Location Address
First Line	:	1934 PARK MANOR BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-4809
Country	:	US
Telephone Number	:	412-788-4664
Fax Number	:	412-788-6003

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. THOMAS R STAHL
Credential	:	OD
Telephone Number	:	937-258-1515

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	08/22/2020

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Directions to “VISIONMAKERS OF PA ” Practice Location

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