Organization
MEDICAL OPTICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN A. BAUMWELL M.D. (PRESIDENT)
(412) 741-4610
Entity
Organization
Contact information
Practice address
400 BROAD ST, SUTIE 2020, SEWICKLEY, PA 15143-1500
(412) 741-4610
(412) 741-8967
Mailing address
400 BROAD ST, SUTIE 2020, SEWICKLEY, PA 15143-1500
(412) 741-4610
(412) 741-8967
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007737020001
—
PA
Enumeration date
01/10/2007
Last updated
04/02/2012
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