Organization
EYETIQUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CHILDS (OWNER/MANAGER)
(412) 772-1473
Entity
Organization
Contact information
Practice address
5166 BUTLER ST, PITTSBURGH, PA 15201
(412) 772-1473
Mailing address
1201 BANKSVILLE RD, PITTSBURGH, PA 15216-3009
(412) 668-3917
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
06/05/2015
Last updated
07/15/2020
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