Mosside Optical INC
NPI #1770575482 in Monroeville, Pennsylvania
Provider Information
- NPI Number
- 1770575482
- Entity Type
- Organization
- Organization Name
- Mosside Optical INC
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Aug 18, 2005
- Last Updated
- Jan 22, 2014
Practice Location
- Address
- 2571 MOSSIDE BLVD
- City
- Monroeville
- State
- Pennsylvania
- ZIP Code
- 15146-3510
- Phone
- (412) 856-8885
Authorized Official
- Name
- DR. MICHAEL J AZAR, MD
- Title
- OWNER/PHYSICIAN
- Phone
- (412) 856-8885
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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