Provider Demographics
NPI:1790890119
Name:TUTERA, EUGENE A (OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:A
Last Name:TUTERA
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 LONG RUN RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-7427
Mailing Address - Country:US
Mailing Address - Phone:412-754-6020
Mailing Address - Fax:412-754-6040
Practice Address - Street 1:726 LONG RUN RD
Practice Address - Street 2:SUITE 1
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-7427
Practice Address - Country:US
Practice Address - Phone:412-754-6020
Practice Address - Fax:412-754-6040
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician