Provider Demographics
NPI:1114935525
Name:VISUALEYES OF PENNSYLVANIA INC.
Entity Type:Organization
Organization Name:VISUALEYES OF PENNSYLVANIA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:R
Authorized Official - Last Name:STAHL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:937-258-1515
Mailing Address - Street 1:650 RIDGE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-9503
Mailing Address - Country:US
Mailing Address - Phone:412-788-4664
Mailing Address - Fax:412-788-6003
Practice Address - Street 1:650 RIDGE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-9503
Practice Address - Country:US
Practice Address - Phone:412-788-4664
Practice Address - Fax:412-788-6003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty