Provider Demographics
NPI:1548387129
Name:PYLE, THOMAS LEROY (OD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LEROY
Last Name:PYLE
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 1:411 BEAVER ST
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1501
Mailing Address - Country:US
Mailing Address - Phone:412-741-8920
Mailing Address - Fax:412-741-6852
Practice Address - Street 1:411 BEAVER ST
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1501
Practice Address - Country:US
Practice Address - Phone:412-741-8920
Practice Address - Fax:412-741-6852
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000585152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist