Organization
2020 VISION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGHAN MARIE SULLIVAN OD (GENERAL MANAGER)
(412) 608-8766
Entity
Organization
Contact information
Practice address
4203 MURRAY AVE, PITTSBURGH, PA 15217-2975
(412) 421-2020
(412) 422-2020
Mailing address
107 OLDE MANOR LN, MOON TOWNSHIP, PA 15108-9793
(412) 608-8766
(412) 422-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003029
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103271592
—
PA
Enumeration date
06/14/2018
Last updated
06/14/2018
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