1437395852 NPI number — ALLE-KISKI EYE CARE INC.

Table of content: (NPI 1437395852)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437395852 NPI number — ALLE-KISKI EYE CARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLE-KISKI EYE CARE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437395852
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/14/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1423 PITTSBURGH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHESWICK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15024-1448
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-274-8383
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1423 PITTSBURGH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHESWICK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15024-1448
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-274-8383
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/07/2009

Additional Information

Authorized Official

Authorized Official Last Name:
QUINTEN
Authorized Official First Name:
COLLETTE
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
724-274-8383

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 311359 . This is a "UPMC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 397307 . This is a "NVA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 4476926 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: OMVUPMC0067 . This is a "OPTICARE MANAGED VISION" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 150874 . This is a "HEALTH ASSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 8186-T . This is a "VISION BENEFITS OF AMERICA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 825201 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 138595 . This is a "COLE MANAGED VISION" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 150874 . This is a "ADVANTRA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 49995 . This is a "DAVIS VISION" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 138595 . This is a "EYEMED" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 150874 . This is a "HEALTH AMERICA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 001806272000 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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