Basic Information
| Provider Information | |||||||||
| NPI: | 1114993110 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | VINCETT EYE CARE ASSOCIATES LTD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1670 GOLDEN MILE HWY | ||||||||
| Address2: | |||||||||
| City: | MONROEVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 151462002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7243272020 | ||||||||
| FaxNumber: | 7247338604 | ||||||||
| Practice Location | |||||||||
| Address1: | 1670 GOLDEN MILE HWY | ||||||||
| Address2: | |||||||||
| City: | MONROEVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 151462002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7243272020 | ||||||||
| FaxNumber: | 7247338604 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2006 | ||||||||
| LastUpdateDate: | 01/02/2008 | ||||||||
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| AuthorizedOfficialLastName: | VINCETT | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
| AuthorizedOfficialMiddleName: | K | ||||||||
| AuthorizedOfficialTitleorPosition: | MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 7243272020 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | JR. | ||||||||
| AuthorizedOfficialCredential: | O.D. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | OEG001441 | PA | Y | 193400000X SINGLE SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist |
ID Information
| ID | Type | State | Issuer | Description | DC9413 | 01 | PA | RAILROAD | OTHER |