Provider Demographics
NPI:1407097504
Name:GIANT EAGLE INC
Entity Type:Organization
Organization Name:GIANT EAGLE INC
Other - Org Name:GIANT EAGLE OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER OPTICAL DEPT
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-968-5159
Mailing Address - Street 1:101 KAPPA DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-2809
Mailing Address - Country:US
Mailing Address - Phone:412-968-5159
Mailing Address - Fax:412-968-5115
Practice Address - Street 1:4007 WASHINGTON RD
Practice Address - Street 2:DONALDSONS CROSSROADS
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2520
Practice Address - Country:US
Practice Address - Phone:724-941-5100
Practice Address - Fax:724-941-5380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001269152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty