Provider Demographics
NPI:1093760001
Name:HUET EYE ASSOCIATES PC
Entity Type:Organization
Organization Name:HUET EYE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/V.P.
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUET
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-749-9618
Mailing Address - Street 1:1155 WASHINGTON PIKE
Mailing Address - Street 2:STE 77
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-2827
Mailing Address - Country:US
Mailing Address - Phone:412-221-7007
Mailing Address - Fax:412-220-8163
Practice Address - Street 1:1155 WASHINGTON PIKE
Practice Address - Street 2:STE 77
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-2827
Practice Address - Country:US
Practice Address - Phone:412-221-7007
Practice Address - Fax:412-220-8163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000304152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACK2365OtherRAILROAD MEDICARE
PA4575470001Medicare NSC
PA060986Medicare PIN