NPIMap

Organization Active NPI

Good Looks Eyewear Inc

  • Eyewear Supplier
  • Cranberry TWP, PA
National Provider Identifier
1033100805
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
MD037014E Issued in PA
Legal business name
GOOD LOOKS EYEWEAR INC
Practice address
20215 Route 19
Suite 104
Cranberry TWP, PA 16066-6146
Phone
(724) 772-9090
Fax
(724) 772-9160
NPI assigned
Nov 2, 2005
Last updated
Jul 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
William Clark Christie, MDNPI 1396747366
Title
Owner Physician
Phone
(724) 772-5420

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
Eyewear Supplier 332H00000X MD037014E PA Primary

Addresses

Primary practice location

20215 Route 19
Suite 104
Cranberry TWP, PA 16066-6146

Mailing address

105 Brandt Dr
Suite 300
Cranberry TWP, PA 16066-6437
Phone (724) 772-5474

Other identifiers 2

IdentifierTypeStateIssuer
001738360007MedicaidPA
GL000256582OtherPABLUESHIELD

National Provider Directory

National Provider Directory

Locations

1101 Freeport Rd
Pittsburgh, PA 15238
Phone (412) 782-0400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1033100805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BRANDT DR",
            "address_2": "SUITE 300",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666437",
            "telephone_number": "724-772-5474",
            "fax_number": "724-772-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20215 ROUTE 19",
            "address_2": "SUITE 104",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666146",
            "telephone_number": "724-772-9090",
            "fax_number": "724-772-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LOOKS EYEWEAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "724-772-5420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "MD037014E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001738360007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "GL000256582",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.