Provider Demographics
NPI:1093878795
Name:MAHRAMAS, JAMES W JR (OD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:MAHRAMAS
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S HILLS VLG # 2264-A
Mailing Address - Street 2:VISIONWORKS
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1400
Mailing Address - Country:US
Mailing Address - Phone:412-833-5675
Mailing Address - Fax:419-833-5747
Practice Address - Street 1:301 S HILLS VLG # 2264-A
Practice Address - Street 2:VISIONWORKS
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1400
Practice Address - Country:US
Practice Address - Phone:412-833-5675
Practice Address - Fax:412-833-5747
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001398152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T30411Medicare UPIN