MEDICARE: CROSSROADS EYE CARE ASSOCIATES, LTD

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
2	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	102471	OTHER		UPMC
3	141069	OTHER	PA	HIGHMARK BC/BS

General Provider Information

NPI Number	:	1902879844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROSSROADS EYE CARE ASSOCIATES, LTD

Provider Business Mailing Address
First Line	:	4160 WASHINGTON RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2533
Country	:	US
Telephone Number	:	724-941-1466
Fax Number	:	724-941-6310

Provider Business Practice Location Address
First Line	:	4160 WASHINGTON RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2533
Country	:	US
Telephone Number	:	724-941-1466
Fax Number	:	724-941-6310

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	THOMAS J D'ORAZIO JR.
Credential	:	M.D.
Telephone Number	:	724-941-1466

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	07/15/2010

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Directions to “CROSSROADS EYE CARE ASSOCIATES, LTD ” Practice Location

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