Provider Demographics
NPI:1649320920
Name:MCKEE, MINDY A (OD)
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:A
Last Name:MCKEE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 JAROD DR
Mailing Address - Street 2:
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-1187
Mailing Address - Country:US
Mailing Address - Phone:412-874-3398
Mailing Address - Fax:
Practice Address - Street 1:100 ROBINSON CENTER DR
Practice Address - Street 2:THE MALL AT ROBINSON
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:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000747152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist