Eyetique Corporation
Eyewear Supplier (Equipment, not the service) in Bridgeville, PA. Organization (NPI-2).
NPI number1952777021
StatusActive
Last updated in NPPESJun 27, 2018
Details
- NPI
- 1952777021
- Entity type
- Organization (NPI-2)
- Legal business name
- Eyetique Corporation
- Organization subpart
- No
- Enumeration date
- Aug 12, 2015
- Last updated
- Jun 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Practice location
1597 Washington PikeBridgeville, PA 15017
Phone 412-668-3617
Mailing address
1201 Banksville RdPittsburgh, PA 15216-3009
Phone 412-668-3617
Authorized official
Cathy L Short
Credentialing Manager
6184629818
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