Organization Active NPI

All About Eyes of Mt. Lebanon

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1023101326
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001169 Issued in PA
Legal business name
ALL ABOUT EYES OF MT. LEBANON
Practice address
315 Beverly Rd
Pittsburgh, PA 15216
Phone
(412) 531-2200
Fax
(412) 531-4550
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michelle L Polimadei, ODNPI 1518958149
Title
Owner
Phone
(412) 531-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG001169 PA Primary

Addresses

Primary practice location

315 Beverly Rd
Pittsburgh, PA 15216

Mailing address

315 Beverly Rd
Pittsburgh, PA 15216-1527
Phone (412) 531-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050421000348 PA Part B Supplier - Clinic/Group Practice 5294773115 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

315 Beverly Rd
Pittsburgh, PA 15216
Phone (412) 531-2200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1023101326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 BEVERLY RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152161527",
            "telephone_number": "412-531-2200",
            "fax_number": "412-531-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 BEVERLY RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15216",
            "telephone_number": "412-531-2200",
            "fax_number": "412-531-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT EYES OF MT. LEBANON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "POLIMADEI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-531-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.