Organization
OUTLOOK OPTOMETRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY M HANNAN O.D. (OWNER/OPTOMETRIST)
(724) 274-0276
Entity
Organization
Contact information
Practice address
2010 VILLAGE CENTER DR, TARENTUM, PA 15084-3850
(724) 274-0274
(724) 274-0278
Mailing address
8131 POST RD, ALLISON PARK, PA 15101-3334
(724) 612-3943
(724) 274-0278
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001285
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100949845
—
PA
Enumeration date
03/13/2012
Last updated
03/22/2012
Update your record
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