Provider Demographics
NPI:1578602876
Name:FREEMAN & EGER, LLP
Entity Type:Organization
Organization Name:FREEMAN & EGER, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GERNAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-359-6301
Mailing Address - Street 1:420 E NORTH AVE
Mailing Address - Street 2:SUITE 116
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4746
Mailing Address - Country:US
Mailing Address - Phone:412-359-6301
Mailing Address - Fax:412-749-2417
Practice Address - Street 1:420 E NORTH AVE
Practice Address - Street 2:SUITE 116
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4746
Practice Address - Country:US
Practice Address - Phone:412-359-6301
Practice Address - Fax:412-749-2417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEOO8157P152W00000X
PAOEG000609152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Single Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA185593OtherHEALTH AMERICA
PA0016236OtherUPMC
PA680779OtherHIGHMARK
PA072704Medicare UPIN
PA072704Medicare ID - Type Unspecified