Provider Demographics
NPI:1013890524
Name:OAKLAND FASHION OPTICAL LLC
Entity type:Organization
Organization Name:OAKLAND FASHION OPTICAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUNQING
Authorized Official - Middle Name:
Authorized Official - Last Name:SITU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-621-2523
Mailing Address - Street 1:311 S CRAIG ST STE 1
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3731
Mailing Address - Country:US
Mailing Address - Phone:412-621-2523
Mailing Address - Fax:
Practice Address - Street 1:311 S CRAIG ST STE 1
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3731
Practice Address - Country:US
Practice Address - Phone:412-621-2523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332H00000XSuppliersEyewear Supplier
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty