Provider Demographics
NPI:1447874375
Name:ANDREWS, BENJAMIN (OD)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3738 MCCABE ST
Mailing Address - Street 2:
Mailing Address - City:BADEN
Mailing Address - State:PA
Mailing Address - Zip Code:15005-2134
Mailing Address - Country:US
Mailing Address - Phone:239-671-5624
Mailing Address - Fax:
Practice Address - Street 1:100 ROBINSON CENTER DR # 2870
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-4831
Practice Address - Country:US
Practice Address - Phone:412-490-2547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-06
Last Update Date:2020-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003661152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist