Provider Demographics
NPI:1801388392
Name:PATTERSON, JUSTIN RICHARD (OD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:RICHARD
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1026 W VIEW PARK DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1771
Mailing Address - Country:US
Mailing Address - Phone:412-931-8101
Mailing Address - Fax:412-931-8103
Practice Address - Street 1:1026 W VIEW PARK DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15229-1771
Practice Address - Country:US
Practice Address - Phone:412-931-8101
Practice Address - Fax:412-931-8103
Is Sole Proprietor?:No
Enumeration Date:2018-05-31
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT.006680152W00000X
PAOEG003596152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist