Provider Demographics
NPI:1629614102
Name:JAYWALKER OPTOMETRY, LLC
Entity Type:Organization
Organization Name:JAYWALKER OPTOMETRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:EGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-264-8830
Mailing Address - Street 1:603 STANWIX ST STE 150
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-1489
Mailing Address - Country:US
Mailing Address - Phone:412-471-9838
Mailing Address - Fax:
Practice Address - Street 1:461 COCHRAN RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1253
Practice Address - Country:US
Practice Address - Phone:412-341-1441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-20
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty