Individual
CARLA ELIZABETH BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
2708 BROWNSVILLE RD, MELROSE PROFESSIONAL BLDG, PITTSBURGH, PA 15227-2035
(412) 882-5115
(412) 882-4606
Mailing address
2708 BROWNSVILLE RD, MELROSE PROFESSIONAL BLDG, PITTSBURGH, PA 15227-2035
(412) 882-5115
(412) 882-4606
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015681000001
DEPT OF WELFARE
PA
Enumeration date
05/02/2007
Last updated
07/08/2007
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