EYETIQUE INC (NPI# 1104238088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104238088 |
| Entity Type | Organization |
| Organization Name | EYETIQUE INC |
| Practice Address |
411 Beaver St Sewickley PA 15143 |
| Mailing Address |
2242 Murray Ave Pittsburgh PA 15217-2308 |
| Practice Telephone | 4124225300 |
| Mailing Telephone | 4124225300 |
| Mailing Fax Number | 4124220105 |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | CATHY L SHORT (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6184629818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | PA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841789278 | Eyetique Inc | Optometrist | 3701 Forbes Ave, Pittsburgh, PA 15213 | 2018-05-01 |
| 1932604220 | Eyetique Inc | Optometrist | 5418 Walnut St, Pittsburgh, PA 15232 | 2018-03-28 |
| 1053816322 | Eyetique Inc | Optometrist | 2460 Robinson Center Dr, Pittsburgh, PA 15205-4850 | 2018-03-28 |
| 1821478736 | Eyetique Inc | Eyewear Supplier (Equipment, not the service) | 5166 Butler St, Pittsburgh, PA 15201 | 2015-06-05 |
| 1265861330 | Eyetique Inc | Optometrist | 28699 Chagrin Blvd, Suite 400, Woodmere, OH 44122 | 2013-11-08 |
| 1962843300 | Eyetique Inc | Optometrist | 2460 Robinson Center Dr., Pittsburgh, PA 15205 | 2013-07-15 |
| 1225371255 | Eyetique Inc | Optometrist | 802a Warrendale Village Drive, 2nd Floor, Warrendale, PA 15086 | 2013-03-28 |
| 1952541955 | Eyetique Inc | Eyewear Supplier (Equipment, not the service) | 208 5th Ave, Pittsburgh, PA 15222 | 2009-03-03 |
| 1316435712 | Eyetique Inc | Optometrist | 3330 Kent Rd, Stow, OH 44224 | 2018-05-01 |
| 1982109260 | Eyetique Inc | Optometrist | 411 Beaver St, Sewickley, PA 15143-1501 | 2018-03-28 |
| Street Address |
411 BEAVER ST |
| City | SEWICKLEY |
| State | PA |
| Zip Code | 15143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417958968 | John R. Kerr | Optometrist | 411 Beaver St, Sewickley, PA 15143-1501 | 2005-08-09 |
| 1982109260 | Eyetique Inc | Optometrist | 411 Beaver St, Sewickley, PA 15143-1501 | 2018-03-28 |
| 1548387129 | Thomas Leroy Pyle | Optometrist | 411 Beaver St, Sewickley, PA 15143-1501 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679082713 | Annie Cares, Inc. | Case Management | 207 Timber Lane, Sewickley, PA 15143 | 2017-09-20 |
| 1083132617 | Andrew Wu | Specialist/Technologist | 1420 North Shevlin Court, Sewickley, PA 15143 | 2017-09-04 |
| 1619498706 | Marisa Lynn Ciamacca | Optometrist | 2591 Wexford Bayne Rd Ste 104, Sewickley, PA 15143 | 2017-06-29 |
| 1730619644 | Eva Marie Haddad | Physician Assistant | 2100 Georgetowne Drive, Suite 400, Sewickley, PA 15143 | 2017-06-13 |
| 1376098129 | Stephanie Harkins | Chiropractor | 1 Ohio River Blvd, Sewickley, PA 15143 | 2016-08-22 |
| 1710339692 | Kara Lynn Varga | Optometrist | 400 Broad Street Suite 2020, Sewickley, PA 15143 | 2016-07-05 |
| 1265890511 | Stacy Moon | Chiropractor | 2605 Nicholson Road, Building 3, Suite 120, Sewickley, PA 15143 | 2016-02-02 |
| 1003286857 | John Robert Utberg | Obstetrics & Gynecology | 210 Alagua Dr., Sewickley, PA 15143 | 2015-10-05 |
| 1588043434 | Simmons Chiropractic & Wellness | Chiropractor | 2425 Rochester Rd, Sewickley, PA 15143 | 2015-05-26 |
| 1316346042 | Lauri Lang | Dietitian, Registered | 2607 Nicholson Rd., Suite 2100, Building 2, Sewickley, PA 15143 | 2014-08-19 |
| Find all providers in zip 15143 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636053 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 540 Gateway Ave, Chambersburg, PA 17201-8107 | 2020-10-14 |
| 1568060416 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 C Mill Rd, Oaks, PA 19456 | 2020-10-13 |
| 1265030233 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 159 Pocono Cmns, Stroudsburg, PA 18360-8703 | 2020-10-13 |
| 1225636293 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 616 N West End Blvd, Quakertown, PA 18951-4100 | 2020-10-13 |
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376140582 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Easton Rd, Warrington, PA 18976-2514 | 2020-10-01 |
| 1689281735 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Alan Wood Rd, Conshohocken, PA 19428-1139 | 2020-09-23 |
| 1770199887 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2250 York Crossing Dr, York, PA 17408-4700 | 2020-09-23 |
| 1639785967 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 550 Madison Ave, Reading, PA 19605-2412 | 2020-09-22 |
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.