Provider Demographics
NPI:1225091119
Name:EYE & EAR SALES &SERVICE
Entity Type:Organization
Organization Name:EYE & EAR SALES &SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BONIDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-261-9796
Mailing Address - Street 1:547 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-3108
Mailing Address - Country:US
Mailing Address - Phone:412-261-9796
Mailing Address - Fax:412-931-9901
Practice Address - Street 1:547 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-3108
Practice Address - Country:US
Practice Address - Phone:412-261-9796
Practice Address - Fax:412-931-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE-004577L152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty