Provider Demographics
NPI:1396973954
Name:DR. J. S. JUSTIN AND ASSOCIATES, INC.
Entity type:Organization
Organization Name:DR. J. S. JUSTIN AND ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:JUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-831-5250
Mailing Address - Street 1:1900 WASHINGTON RD
Mailing Address - Street 2:SUITE 132
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1426
Mailing Address - Country:US
Mailing Address - Phone:412-831-5250
Mailing Address - Fax:412-831-6944
Practice Address - Street 1:1900 WASHINGTON RD
Practice Address - Street 2:SUITE 132
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1426
Practice Address - Country:US
Practice Address - Phone:412-831-5250
Practice Address - Fax:412-831-6944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOET-008984152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT-27024Medicare UPIN
OHJU 0501123Medicare UPIN