Provider Demographics
NPI:1568745040
Name:OAKMONT EYE CARE, LLC
Entity Type:Organization
Organization Name:OAKMONT EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:NAPOLITAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-828-4080
Mailing Address - Street 1:750 3RD ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-1971
Mailing Address - Country:US
Mailing Address - Phone:412-828-4080
Mailing Address - Fax:412-828-0574
Practice Address - Street 1:750 3RD ST
Practice Address - Street 2:SUITE 1
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-1971
Practice Address - Country:US
Practice Address - Phone:412-828-4080
Practice Address - Fax:412-828-0574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-21
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001063152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1659340701OtherNPI
PAU82166Medicare UPIN
PA0387260001Medicare NSC