Provider Demographics
NPI:1629237433
Name:HEIDIOPTICS, LLC
Entity Type:Organization
Organization Name:HEIDIOPTICS, LLC
Other - Org Name:HEIDIOPTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:WEITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-281-7022
Mailing Address - Street 1:223 4TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-1713
Mailing Address - Country:US
Mailing Address - Phone:412-281-7022
Mailing Address - Fax:412-261-1780
Practice Address - Street 1:223 4TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-1713
Practice Address - Country:US
Practice Address - Phone:412-281-7022
Practice Address - Fax:412-261-1780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier