Healthcare Provider Details

I. General information

NPI: 1497925960
Provider Name (Legal Business Name): ALLEGHENY EYE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2008
Last Update Date: 03/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

846 CALIFORNIA AVE
AVALON PA
15202-2706
US

IV. Provider business mailing address

846 CALIFORNIA AVE
AVALON PA
15202-2706
US

V. Phone/Fax

Practice location:
  • Phone: 412-741-4610
  • Fax:
Mailing address:
  • Phone: 412-741-4610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: JORGE BRUNO
Title or Position: OWNER
Credential: M.D
Phone: 412-741-4610