Provider Demographics
NPI:1720195316
Name:WILKINS TOWNSHIP OPTICAL ASSOCIATES LLC
Entity Type:Organization
Organization Name:WILKINS TOWNSHIP OPTICAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHILDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-422-5300
Mailing Address - Street 1:2242 MURRAY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2308
Mailing Address - Country:US
Mailing Address - Phone:412-422-5300
Mailing Address - Fax:412-422-5360
Practice Address - Street 1:3444 WILLIAM PENN HWY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5413
Practice Address - Country:US
Practice Address - Phone:412-825-5300
Practice Address - Fax:412-825-9409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty