Provider Demographics
NPI:1750486585
Name:A BOSS OPTICIANS INC
Entity Type:Organization
Organization Name:A BOSS OPTICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V PRES
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-561-0811
Mailing Address - Street 1:938 BROOKLINE BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15226-2106
Mailing Address - Country:US
Mailing Address - Phone:412-561-0811
Mailing Address - Fax:412-563-0759
Practice Address - Street 1:5074 W LIBRARY AVE
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:PA
Practice Address - Zip Code:15102-2738
Practice Address - Country:US
Practice Address - Phone:412-854-5838
Practice Address - Fax:412-854-5838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA248789OtherBLUE CROSS BLUE SHIELD
PA248789OtherBLUE CROSS BLUE SHIELD