Provider Demographics
NPI:1790761195
Name:SAVARNO, EDWARD BRIAN (MS,OD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:BRIAN
Last Name:SAVARNO
Suffix:
Gender:M
Credentials:MS,OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 FINLEY RD
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-3823
Mailing Address - Country:US
Mailing Address - Phone:724-930-8250
Mailing Address - Fax:724-930-8252
Practice Address - Street 1:170 FINLEY RD
Practice Address - Street 2:SUITE 3B
Practice Address - City:BELLE VERNON
Practice Address - State:PA
Practice Address - Zip Code:15012-3823
Practice Address - Country:US
Practice Address - Phone:724-930-8250
Practice Address - Fax:724-930-8252
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-16
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG0001001152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU07474Medicare UPIN
PA0887050001Medicare NSC
PA144056Medicare PIN