Provider Demographics
NPI:1508935016
Name:MCBRIAR OPTOMETRY, LLC
Entity Type:Organization
Organization Name:MCBRIAR OPTOMETRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MATHEW
Authorized Official - Last Name:MCBRIAR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-612-8180
Mailing Address - Street 1:113 WYNWOOD CT
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-4741
Mailing Address - Country:US
Mailing Address - Phone:412-612-8180
Mailing Address - Fax:724-864-1045
Practice Address - Street 1:915 MILLS DR
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-4129
Practice Address - Country:US
Practice Address - Phone:412-612-8180
Practice Address - Fax:724-864-1045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5587,T2501152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH29114OtherSPECTERA
OH552211OtherNVA
OH22022810OtherUNITED HEALTH CARE
OH192502827001OtherMEDICAL MUTUAL