Doctor Name: | STACEY MARIE HANNAN |
NPI Number: | 1699711747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | O.D. |
License Number: | OEG001285 |
Business Practice Address: | 2010 Village Center Dr Wal-mart Vision Center Tarentum, PA - 150843844 |
Business Phone Number: | 7242740276 |
Business Fax Number: | |
Mailing Address: | 8131 Post Rd, ALLISON PARK |
State: | PA |
Postal Code: | 151013334 |
Phone Number: | 7246123943 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 12/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | OEG001285 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |