Provider Demographics
NPI:1033234679
Name:SOUTH HILLS EYE ASSOCIATES
Entity Type:Organization
Organization Name:SOUTH HILLS EYE ASSOCIATES
Other - Org Name:SOUTH HILLS EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:NABEREZNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-561-1964
Mailing Address - Street 1:189 E PIKE ST
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-1765
Mailing Address - Country:US
Mailing Address - Phone:724-745-6258
Mailing Address - Fax:724-745-8431
Practice Address - Street 1:189 E PIKE ST
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-1765
Practice Address - Country:US
Practice Address - Phone:724-745-6258
Practice Address - Fax:724-745-8431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty