Provider Demographics
NPI:1083789291
Name:SOUTH HILLS OPTICAL ASSOCIATES LLC
Entity Type:Organization
Organization Name:SOUTH HILLS OPTICAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHILDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-422-5300
Mailing Address - Street 1:2242 MURRAY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2308
Mailing Address - Country:US
Mailing Address - Phone:412-422-5300
Mailing Address - Fax:412-422-5360
Practice Address - Street 1:301 S HILLS VLG
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1409
Practice Address - Country:US
Practice Address - Phone:412-854-2222
Practice Address - Fax:412-854-5551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty