1427148261 NPI number — EVERETT & HURITE OPHTHALMIC ASSOCIATION

Table of content: DR. ROBERT SCOTT NANCE D.D.S., M.S. (NPI 1013937986)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427148261 NPI number — EVERETT & HURITE OPHTHALMIC ASSOCIATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EVERETT & HURITE OPHTHALMIC ASSOCIATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427148261
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1835 FORBES AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15219-5835
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-288-0885
Provider Business Mailing Address Fax Number:
412-281-1926

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1835 FORBES AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15219-5835
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-288-0885
Provider Business Practice Location Address Fax Number:
412-391-5012
Provider Enumeration Date:
10/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
AUTH
Authorized Official First Name:
SUE
Authorized Official Middle Name:
Authorized Official Title or Position:
CREDENTIALING
Authorized Official Telephone Number:
412-586-1217

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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