Provider Demographics
NPI:1912166281
Name:NORTH PARK OPHTHALMOLOGY PC
Entity Type:Organization
Organization Name:NORTH PARK OPHTHALMOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-367-2333
Mailing Address - Street 1:5900 CORPORATE DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-7005
Mailing Address - Country:US
Mailing Address - Phone:412-367-2333
Mailing Address - Fax:412-367-3471
Practice Address - Street 1:5900 CORPORATE DR
Practice Address - Street 2:SUITE 150
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-7005
Practice Address - Country:US
Practice Address - Phone:412-367-2333
Practice Address - Fax:412-367-3471
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH PARK OPHTHALMOLOGY PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-03
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5254290001OtherMEDICARE DME