Provider Demographics
NPI:1780659649
Name:VINCETT EYE CARE ASSOCIATES LTD
Entity type:Organization
Organization Name:VINCETT EYE CARE ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:K
Authorized Official - Last Name:VINCETT
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:412-256-2020
Mailing Address - Street 1:645 RODI RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-4525
Mailing Address - Country:US
Mailing Address - Phone:412-256-2020
Mailing Address - Fax:412-247-4963
Practice Address - Street 1:645 RODI RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-4564
Practice Address - Country:US
Practice Address - Phone:412-256-2020
Practice Address - Fax:412-247-4963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-22
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001441152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADC9413OtherRAILROAD
PA088745Medicare PIN
PADC9413OtherRAILROAD