Organization
SHADYSIDE EYE ASSOCIATES. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA TELEGA O.D. (OWNER)
(412) 404-2626
Entity
Organization
Contact information
Practice address
5730 ELLSWORTH AVE 4, PITTSBURGH, PA 15232-1741
(412) 404-2626
(412) 404-2446
Mailing address
5730 ELLSWORTH AVE, SUITE 4, PITTSBURGH, PA 15232-1741
(412) 404-2626
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001865
PA
Other
Enumeration date
05/23/2013
Last updated
08/13/2013
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