Wise Optical

LBN: Vista Optometry, Llc
Wise Optical is an health care organization with primary practice located at 15 Pine Grove Sq , Grove City PA 16127-4447. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Vista Optometry, Llc can be contacted via phone (724) 458-0333, or through Liulias, Menelaos via phone (724) 612-3711.

Contact Information

Primary practice address
15 Pine Grove Sq Grove City PA 16127-4447
Fax: (724) 458-0335
Website:
Authorized official contact:
Name: Liulias, Menelaos Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG001284 Pennsylvania
Eye and Vision Services Providers / Optometrist 152W00000X 5728 Ohio
Eye and Vision Services Providers / Optometrist 152W00000X T2642 Ohio
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OEG001284 Pennsylvania
Eye and Vision Services Providers / Occupational Vision 152WX0102X OEG001284 Pennsylvania

Profile Details

NPI number 1609061019
LBN Legal business name Vista Optometry, Llc
DBA Doing business as Wise Optical
Authorized official Liulias, Menelaos Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2007
Last updated Feb 6th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609061019 NPPES
Pennsylvania Other 400553 UPMC HEALTH PLAN
Pennsylvania Other 1982534 UPMC HEALTH PLAN
Pennsylvania Other 1138132 UPMC HEALTH PLAN
Pennsylvania MEDICAID TBD UPMC HEALTH PLAN

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