Individual
MICHAEL A MENDICINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1145 BOWER HILL RD, SUITE 205, PITTSBURGH, PA 15243-1800
(412) 572-6121
(412) 571-1327
Mailing address
1145 BOWER HILL RD, SUITE 205, PITTSBURGH, PA 15243-1342
(412) 572-6121
(412) 571-1327
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000833
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018518300002
—
PA
01
—
139745
AETNA
PA
01
—
2082328
HEALTH AMERICA
PA
01
—
410045262
RAILROAD MEDICARE
PA
Enumeration date
06/21/2006
Last updated
09/03/2010
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