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4424 Penn Ave, Suite 101, Pittsburgh, PA 15224-1338 | |
(412) 683-0500 | |
(412) 683-1943 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 4424 Penn Ave, Pittsburgh, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295873016 | NPI | - | NPPES |
0015158470002 | Medicaid | PA | |
0015158470007 | Medicaid | PA | |
CA1163 | Other | RR MEDICARE | |
561777 | Other | PA | HIGHMARK |
2005013 | Other | PA | HIGHMARK (FOR OD) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG001667 (Pennsylvania) | Secondary |
152W00000X | Optometrist | 03847P (Pennsylvania) | Secondary |
207W00000X | Ophthalmology | MD026939E (Pennsylvania) | Primary |
Provider Name | Christopher Nicholas Cecchini |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013907997 PECOS PAC ID: 6204867914 Enrollment ID: I20050823000397 |
Provider Name | Roxana Francisca Barad |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1689712473 PECOS PAC ID: 0840375119 Enrollment ID: I20120123000676 |
Mailing Address | Practice Location Address |
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4424 Penn Ave, Suite 101, Pittsburgh, PA 15224-1338 Ph: (412) 683-0500 | 4424 Penn Ave, Suite 101, Pittsburgh, PA 15224-1338 Ph: (412) 683-0500 |