Provider Demographics
NPI:1235493503
Name:VERONA EYE CARE LLC
Entity Type:Organization
Organization Name:VERONA EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:PERKA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-517-8365
Mailing Address - Street 1:760 ALLEGHENY RIVER BLVD
Mailing Address - Street 2:FLOOR 1
Mailing Address - City:VERONA
Mailing Address - State:PA
Mailing Address - Zip Code:15147-1302
Mailing Address - Country:US
Mailing Address - Phone:412-517-8365
Mailing Address - Fax:
Practice Address - Street 1:760 ALLEGHENY RIVER BLVD
Practice Address - Street 2:FLOOR 1
Practice Address - City:VERONA
Practice Address - State:PA
Practice Address - Zip Code:15147-1302
Practice Address - Country:US
Practice Address - Phone:412-517-8365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-01
Last Update Date:2012-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001339152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty