Eyetique Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYETIQUE CORPORATION

Practice address

1835 Forbes Ave
Pittsburgh, PA 15219-5835

Phone

(412) 422-5300

NPI assigned

Mar 28, 2013

Organization subpart

No

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

Authorized official

Name

Cathy Lee Short

Title

Credentialing Manager

Phone

(618) 462-9818

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1316280340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E BROADWAY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026220",
            "telephone_number": "618-462-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 FORBES AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195835",
            "telephone_number": "412-422-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYETIQUE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "618-462-9818"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Physicians Optical LLC
• Eye Physicians Optical LLC
• Eye Response Technologies Inc.
• Eye to Eye Optical
• Eyes on Regent Square
• Eyetique Corporation
• Eyetique Inc
• Eyetique Inc
• Eyetique Inc
• Eyetique Inc

• 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 Oct 18, 2019; 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.