Shadyside Optical Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SHADYSIDE OPTICAL ASSOCIATES LLC

Practice address

5508 Walnut St # 5510
Pittsburgh, PA 15232-2312

Phone

(412) 441-5300

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Norman D. Childs

Title

President

Phone

(412) 422-5300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1245346204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 MURRAY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172308",
            "telephone_number": "412-422-5300",
            "fax_number": "412-422-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 WALNUT ST # 5510",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152322312",
            "telephone_number": "412-441-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADYSIDE OPTICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-422-5300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shady Med Inc
• Shadyside Cardiology Rotation PC
• Shadyside Cardiovascular, PLLC
• Shadyside Eye Associates. LLC
• Shadyside Nursing and Rehabilitation Center-Pittsburgh PA, LLC
• Shadyside Psychological Services
• Shadyside SNF Healthcare LLC
• Shadyside Surgi-Center, Inc.
• Devon Shafer
• Debbie Ann Shaffer, LISW-S

• Optometrist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.