Provider Demographics
NPI:1689788101
Name:ROBERT B NOLAND MD PC
Entity Type:Organization
Organization Name:ROBERT B NOLAND MD PC
Other - Org Name:CATARACT AND LASER INSTITUTE OF PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:NOLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-682-4005
Mailing Address - Street 1:3471 5TH AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3215
Mailing Address - Country:US
Mailing Address - Phone:412-682-4005
Mailing Address - Fax:412-681-8502
Practice Address - Street 1:3471 5TH AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3215
Practice Address - Country:US
Practice Address - Phone:412-682-4005
Practice Address - Fax:412-681-8502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD012866E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007541290007Medicaid
PA1010816OtherGATEWAY
PACM3917OtherRAILROAD MEDICARE
PA100301OtherUPMC
PA1420158OtherUPMC FOR YOU
PA0077732OtherUSHEALTHCARE
PA49743OtherDAVIS
PA55226OtherELDER HEALTH
PAMD012866EOtherVBA
PA0017422OtherDORAL
PA0641900001OtherDMERC
PA392244OtherNVA
PA63621OtherUNISON
PA1007541290007Medicaid
PA1420158OtherUPMC FOR YOU
PA63621OtherUNISON
PA=========OtherLIFE PITTSBURGH
PAB35219Medicare UPIN