Provider Demographics
NPI:1891908372
Name:STONEHENDGE INC.
Entity Type:Organization
Organization Name:STONEHENDGE INC.
Other - Org Name:THE EYE GALLERY OF MT. LEBANON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:PARKER
Authorized Official - Last Name:DOTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-344-3930
Mailing Address - Street 1:514 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:15228-2826
Mailing Address - Country:US
Mailing Address - Phone:412-344-3930
Mailing Address - Fax:412-344-3930
Practice Address - Street 1:514 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:MOUNT LEBANON
Practice Address - State:PA
Practice Address - Zip Code:15228-2826
Practice Address - Country:US
Practice Address - Phone:412-344-3930
Practice Address - Fax:412-344-3930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Multi-Specialty
No152WS0006XEye and Vision Services ProvidersOptometristSports VisionGroup - Multi-Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty
No152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOP0217 02OtherEYE MED
PA52166OtherDAVIS VISION
PA1765098OtherBLUE CROSS