Provider Demographics
NPI:1215935648
Name:VELIKY, JAMES J
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:VELIKY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 GRANT ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-4415
Mailing Address - Country:US
Mailing Address - Phone:412-281-5975
Mailing Address - Fax:412-281-3244
Practice Address - Street 1:555 GRANT ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-4415
Practice Address - Country:US
Practice Address - Phone:412-281-5975
Practice Address - Fax:412-281-3244
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-10
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE-G000383152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA043589068OtherUNITED HEALTHCARE
PA358974OtherHIGHMARK
PA410047951OtherPALMETTO GBA - RAILROAD MEDICARE
PA043589068OtherHEALTH ASSURANCE
PA308138OtherUPMC
PA043589068OtherAETNA
PA043589068OtherCIGNA
PA043589068OtherUNITED HEALTHCARE
PAT29434Medicare UPIN
PA133035Medicare PIN