Provider Demographics
NPI:1871559765
Name:AULICINO, FRANK F (OD)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:F
Last Name:AULICINO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:810 CLAIRTON BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-4519
Mailing Address - Country:US
Mailing Address - Phone:412-653-3000
Mailing Address - Fax:412-653-1007
Practice Address - Street 1:810 CLAIRTON BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-4519
Practice Address - Country:US
Practice Address - Phone:412-653-3000
Practice Address - Fax:412-653-1007
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000819152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01728443Medicaid
PA01728443Medicaid
PA049142Medicare ID - Type Unspecified