Organization
EYE COUTURE OPTICAL PC
Active
Other names
Eye Couture Optical
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA MARIE CICHON O.D. (CEO/OWNER)
(412) 851-2020
Entity
Organization
Contact information
Practice address
5217 LIBRARY RD, BETHEL PARK, PA 15102-2714
(412) 851-2020
(412) 851-2022
Mailing address
5217 LIBRARY RD, BETHEL PARK, PA 15102-2714
(412) 851-2020
(412) 851-2022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001465
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OEG001465
OPTOMETRIST LICENSE
PA
Enumeration date
05/13/2014
Last updated
09/02/2014
Update your record
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