NPIMap

Organization Active NPI

Eyetique Inc

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1821478736
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYETIQUE INC
Practice address
5166 Butler St
Pittsburgh, PA 15201
Phone
(412) 772-1473
NPI assigned
Jun 5, 2015
Last updated
Jul 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Daniel Childs
Title
Owner/Manager
Phone
(412) 772-1473

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

5166 Butler St
Pittsburgh, PA 15201

Mailing address

1201 Banksville Rd
Pittsburgh, PA 15216-3009
Phone (412) 668-3917

National Provider Directory

National Provider Directory
Tax ID family
SQ Hill Eyetique10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1201 Banksville Rd
Pittsburgh, PA 15216
Phone (412) 668-3700

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1821478736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BANKSVILLE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152163009",
            "telephone_number": "412-668-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5166 BUTLER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15201",
            "telephone_number": "412-772-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYETIQUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "412-772-1473"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.