Provider Demographics
NPI:1639175045
Name:ASSOCIATES IN OPHTHALMOLOGY LTD
Entity type:Organization
Organization Name:ASSOCIATES IN OPHTHALMOLOGY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:LUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-653-3080
Mailing Address - Street 1:PO BOX 644214
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15264-4214
Mailing Address - Country:US
Mailing Address - Phone:412-653-3080
Mailing Address - Fax:412-650-8860
Practice Address - Street 1:9970 MOUNTAIN VIEW DR
Practice Address - Street 2:SUITE 200
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2474
Practice Address - Country:US
Practice Address - Phone:412-655-4764
Practice Address - Fax:412-653-3580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMC938162C207RC0000X, 363L00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA67584OtherHIGHMARK BS
PA37546OtherAETNA HEALTH PLAN
PACE4087OtherRAILROAD MEDICARE
PA219384OtherADVANTRA/HEALTH AMERICA
PA0007518680027Medicaid
PA203492OtherUPMC HEALTH PLAN
PA1520607OtherUMWA MEDICARE
PA219384OtherCARELINK
PA1004502OtherGATEWAY HEALTH PLAN
PA219384OtherADVANTRA/HEALTH AMERICA
PACE4087OtherRAILROAD MEDICARE
PA219384OtherCARELINK
OH=========-00OtherOHIO WORKERS COMP