Provider Demographics
NPI:1295302958
Name:SALLIT, JENAN (OD)
Entity type:Individual
Prefix:
First Name:JENAN
Middle Name:
Last Name:SALLIT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5418 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-2222
Mailing Address - Country:US
Mailing Address - Phone:412-687-5353
Mailing Address - Fax:412-687-5574
Practice Address - Street 1:5418 WALNUT ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-2222
Practice Address - Country:US
Practice Address - Phone:412-687-5353
Practice Address - Fax:412-687-5574
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-09
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003778152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist