# STONEHENDGE INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Eye Gallery of Mt. Lebanon
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891908372
- **Authorized official:** MR. SCOTT PARKER DOTY (OWNER)
- **Authorized official phone:** (412) 344-3930

## Contact information

- **Practice address:** 514 WASHINGTON RD, MOUNT LEBANON, PA 15228-2826
- **Practice address phone:** (412) 344-3930
- **Practice address fax:** (412) 344-3930
- **Mailing address:** 514 WASHINGTON RD, MOUNT LEBANON, PA 15228-2826
- **Mailing address phone:** (412) 344-3930
- **Mailing address fax:** (412) 344-3930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 152WC0802X | Corneal and Contact Management Optometrist | — | NULL | — |
| 152WC0802X | Corneal and Contact Management Optometrist | — | — | — |
| 152WP0200X | Pediatric Optometrist | — | NULL | — |
| 152WP0200X | Pediatric Optometrist | — | — | — |
| 152WS0006X | Sports Vision Optometrist | — | NULL | — |
| 152WS0006X | Sports Vision Optometrist | — | — | — |
| 152WV0400X | Vision Therapy Optometrist | — | NULL | — |
| 152WV0400X | Vision Therapy Optometrist | — | — | — |
| 152WX0102X | Occupational Vision Optometrist | — | NULL | — |
| 152WX0102X | Occupational Vision Optometrist | — | — | — |
| 156FX1800X | Optician | — | NULL | Yes |
| 156FX1800X | Optician | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 05/04/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1765098 | BLUE CROSS | PA |
| 01 | — | 52166 | DAVIS VISION | PA |
| 01 | — | OP0217 02 | EYE MED | PA |
