Provider Demographics
NPI:1285622738
Name:HACKER, ERICA A (OD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:A
Last Name:HACKER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-5920
Mailing Address - Country:US
Mailing Address - Phone:412-368-4400
Mailing Address - Fax:412-368-4091
Practice Address - Street 1:1800 WEST ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:PA
Practice Address - Zip Code:15120-2578
Practice Address - Country:US
Practice Address - Phone:412-368-4400
Practice Address - Fax:412-368-4091
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-10
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE 008005 T152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PWOE008005TOtherOPTOMETRIC LICENSE
HA611219Medicare ID - Type Unspecified
PWOE008005TOtherOPTOMETRIC LICENSE