Provider Demographics
NPI:1962421065
Name:MANAGED EYE CARE INC
Entity type:Organization
Organization Name:MANAGED EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:ESTELLE
Authorized Official - Last Name:SUMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-377-4969
Mailing Address - Street 1:876 FAIRWAYS DR
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-1053
Mailing Address - Country:US
Mailing Address - Phone:412-377-4969
Mailing Address - Fax:412-517-8614
Practice Address - Street 1:242 PITTSBURGH MILLS CIR
Practice Address - Street 2:PEARLE VISION
Practice Address - City:TARENTUM
Practice Address - State:PA
Practice Address - Zip Code:15084-3836
Practice Address - Country:US
Practice Address - Phone:724-274-4614
Practice Address - Fax:724-274-4617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000510305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service