Provider Demographics
NPI:1467428144
Name:KAMINSKI, ROBERT E (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:KAMINSKI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 RODI RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-4525
Mailing Address - Country:US
Mailing Address - Phone:412-256-2020
Mailing Address - Fax:412-247-4963
Practice Address - Street 1:645 RODI RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-4525
Practice Address - Country:US
Practice Address - Phone:412-256-2020
Practice Address - Fax:412-247-4963
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000366152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADC9413OtherRAILROAD
PADC9413OtherRAILROAD
PA116171TYRMedicare PIN