Provider Demographics
NPI:1962685016
Name:CENTRAL OPTIQUE, INC
Entity Type:Organization
Organization Name:CENTRAL OPTIQUE, INC
Other - Org Name:DALMO OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:FANG
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:412-937-1112
Mailing Address - Street 1:950 GREENTREE RD
Mailing Address - Street 2:SUITE202
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-3314
Mailing Address - Country:US
Mailing Address - Phone:412-937-1112
Mailing Address - Fax:
Practice Address - Street 1:950 GREENTREE RD
Practice Address - Street 2:SUITE202
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-3314
Practice Address - Country:US
Practice Address - Phone:412-937-1112
Practice Address - Fax:412-915-6449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332H00000XSuppliersEyewear Supplier
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty