Organization Active NPI

Eyetique Inc

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1952541955
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE006128P Issued in PA
Legal business name
EYETIQUE INC
Practice address
208 5TH Ave
Pittsburgh, PA 15222
Phone
(412) 281-9199
Fax
(412) 281-9210
NPI assigned
Mar 3, 2009
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
Cathy L Short
Title
Credentialing Manager
Phone
(618) 462-9818

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 6000002687 PA
Optometrist 152W00000X OE006128P PA Primary

Addresses

Primary practice location

208 5TH Ave
Pittsburgh, PA 15222

Mailing address

208 5TH Ave
Pittsburgh, PA 15222-2701
Phone (412) 281-9199

National Provider Directory

National Provider Directory

Locations

208 5th Ave
#Three
Pittsburgh, PA 15222
Phone (412) 281-9199

309 Forbes Ave
Pittsburgh, PA 15222
Phone (412) 281-9199

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1952541955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152222701",
            "telephone_number": "412-281-9199",
            "fax_number": "412-281-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15222",
            "telephone_number": "412-281-9199",
            "fax_number": "412-281-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYETIQUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "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": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "6000002687",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE006128P",
            "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.