Organization
GOOD LOOKS EYEWEAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CLARK CHRISTIE M.D. (OWNER/PHYSICIAN)
(412) 782-1919
Entity
Organization
Contact information
Practice address
1101 FREEPORT RD, PITTSBURGH, PA 15238-3103
(412) 782-1919
(412) 782-1199
Mailing address
105 BRANDT DR, SUITE 300, CRANBERRY TWP, PA 16066-6437
(724) 772-5474
(724) 772-5423
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
MD037014E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017381360006
—
PA
01
—
GL000165292
BLUE SHIELD
PA
Enumeration date
05/15/2008
Last updated
07/03/2013
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