Organization
DORMONT VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA ROBERTS DOUGLAS CPDC (CREDENTIALING)
(866) 551-0232
Entity
Organization
Contact information
Practice address
2893 W LIBERTY AVE, PITTSBURGH, PA 15216-2619
(412) 344-8534
(412) 344-6962
Mailing address
2893 WEST LIBERTY AVE, PITTSBURGH, PA 15216-2619
(412) 344-8534
(412) 344-6962
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000494
PA
Other
Enumeration date
05/30/2008
Last updated
09/11/2014
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