Provider Demographics
NPI:1912945007
Name:ROSENBLOOM & LEBOVITZ VISION CENTER, INC
Entity Type:Organization
Organization Name:ROSENBLOOM & LEBOVITZ VISION CENTER, INC
Other - Org Name:RESIDENT EYE CARE ASSOICATES OF PITTS.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOWELL
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:LEBOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-391-5040
Mailing Address - Street 1:428 FORBES AVE
Mailing Address - Street 2:2020 LAWYERS BUILDING
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-1614
Mailing Address - Country:US
Mailing Address - Phone:412-391-5040
Mailing Address - Fax:412-391-8769
Practice Address - Street 1:428 FORBES AVE
Practice Address - Street 2:2020 LAWYERS BUILDING
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-1614
Practice Address - Country:US
Practice Address - Phone:412-391-5040
Practice Address - Fax:412-391-8769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015585210004Medicaid
PA813286Medicare PIN