Organization
MGM OPTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW G MOMICH (OWNER)
(412) 824-1755
Entity
Organization
Contact information
Practice address
201 PENN CENTER BLVD, SUITE 100, PITTSBURGH, PA 15235-5435
(412) 824-1755
Mailing address
201 PENN CENTER BLVD, STE 100, PITTSBURGH, PA 15235-5435
(412) 824-1755
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000292384
HIGHMARK BLUE CROSS BLUE SHIELD
—
01
—
1619967429
OPTICARE MANAGED VISION
—
01
—
393866
NATIONAL VISION BENEFITS OF AMERICA
—
01
—
49668
DAVIS VISION
—
01
—
OP2144
EYEMED VISION CARE
—
01
—
PA00201
VISION BENEFITS OF AMERICA
—
Enumeration date
01/11/2008
Last updated
05/14/2008
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