MEDICARE: VALLEY VISION, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MD420357	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649234519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY VISION, LLC

Provider Business Mailing Address
First Line	:	1627 UNION AVE
Second Line	:
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-2143
Country	:	US
Telephone Number	:	724-226-3333
Fax Number	:	724-224-2121

Provider Business Practice Location Address
First Line	:	1627 UNION AVE
Second Line	:
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-2143
Country	:	US
Telephone Number	:	724-226-3333
Fax Number	:	724-224-2121

Authorized Official
Title or Position	:	PRESIDENT/OPHTHALMOLOGIST
Name	:	DR. WALTER G KRASINSKY
Credential	:	M.D.
Telephone Number	:	724-226-3333

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	08/22/2020

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