Eye Couture Optical PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001465 Issued in PA

Legal business name

EYE COUTURE OPTICAL PC

Doing business as

Eye Couture Optical

Practice address

5217 Library Rd
Bethel Park, PA 15102-2714

Phone

(412) 851-2020

Fax

(412) 851-2022

NPI assigned

May 13, 2014

Last updated

Sep 2, 2014By 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

Anita Marie Cichon, O.D.NPI 1881695955

Title

Ceo/Owner

Phone

(412) 851-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eye Couture Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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.

• Anita M Cichon, OD

  • Optometrist
  • Bethel Park, PA
  • NPI 1881695955
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1811308885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5217 LIBRARY RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022714",
            "telephone_number": "412-851-2020",
            "fax_number": "412-851-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 LIBRARY RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022714",
            "telephone_number": "412-851-2020",
            "fax_number": "412-851-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE COUTURE OPTICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "CICHON",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "412-851-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIST LICENSE",
            "identifier": "OEG001465",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Couture Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sebastian Estrada, MD
• Katie Elizabeth Evans, PTA
• Martin John Evans, D.C.
• Wayne Evron, M.D.
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• Kyle Lynn Fahsholtz Howell
• Michael Allen Fay, DMD
• Donna Jean Ferens, SLP
• Ferguson Family Dentistry PC
• William Robert Ferguson III, D.M.D.

• Optometrist in Bethel Park, PA
• Providers in Bethel Park, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.