Provider Demographics
NPI:1972911006
Name:CHRISTOPHER J DALDINE, P.C.
Entity type:Organization
Organization Name:CHRISTOPHER J DALDINE, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DALDINE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:586-354-3225
Mailing Address - Street 1:105 FALL RUN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-3747
Mailing Address - Country:US
Mailing Address - Phone:586-354-3225
Mailing Address - Fax:
Practice Address - Street 1:1717 ROUTE 228
Practice Address - Street 2:TARGET OPTICAL
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-5312
Practice Address - Country:US
Practice Address - Phone:724-778-9010
Practice Address - Fax:724-778-9012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-01
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002776152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty