Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician |
NPI | 1124207949 |
---|---|
Provider Name | Mr. Steven Richard Link |
First Address | Pittsburgh, PA 15220-3304 |
Second Address | Pittsburgh, PA 15220-3304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2007 |
Last Update Date | 29/10/2007 |