Eyetique INC
Optometrist in Sewickley, PA. Organization (NPI-2).
NPI number1982109260
StatusActive
Last updated in NPPESJul 15, 2020
Details
- NPI
- 1982109260
- Entity type
- Organization (NPI-2)
- Legal business name
- Eyetique INC
- Organization subpart
- No
- Enumeration date
- Mar 28, 2018
- Certification date
- Jul 15, 2020
- Last updated
- Jul 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Eyetique (Doing Business As)
Practice location
411 Beaver StSewickley, PA 15143-1501
Phone 412-741-8920 · Fax 412-741-6852
Mailing address
211 E BroadwayAlton, IL 62002-6220
Phone 618-462-9818 · Fax 800-432-6004
Authorized official
Cathy L Short
Credentialing Manager
6184629818
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