Eyetique Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYETIQUE CORPORATION

Doing business as

3 Guys Optical

Practice address

535 Adams Shoppes
Mars, PA 16046-3968

Phone

(724) 591-8515

Fax

(724) 591-8517

NPI assigned

May 1, 2018

Last updated

Jun 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cathy L Short

Title

Credentialing Manager

Phone

(618) 462-9818

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 3 Guys Optical Doing business as

Tax ID family

3 Guys Optical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• 3 Guys Optical

  • Eyewear Supplier
  • Pittsburgh, PA
  • NPI 1962805135
  NPD tax ID
• Eyetique Corporation

  • Eyewear Supplier
  • Bridgeville, PA
  • NPI 1952777021
  NPD tax ID

Locations

Practitioners 1

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.

• Pamela A Houghton, O.D.

  • Optometrist
  • Cranberry TWP, PA
  • NPI 1568559136
  NPD (past)

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1609364058",
    "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",
            "fax_number": "314-741-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 ADAMS SHOPPES",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160463968",
            "telephone_number": "724-591-8515",
            "fax_number": "724-591-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYETIQUE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "618-462-9818"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3 Guys Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald Lee Dougalewicz Jr., DPT
• Eckerd Corporation (Rite Aid Pharmacy 10988)
• Elite Chiropractic and Wellness Center, LLC
• Emerald Grove Wellness LLC
• Theresa A Eury
• Susan R Fair, CRNP
• Finn Chiropractic, Inc.
• Sean Patrick Finn, MPT
• Shawn T Finn, D.C.
• Alyssa Forte, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.