Healthcare Provider Details

I. General information

NPI: 1922038843
Provider Name (Legal Business Name): EGER EYE GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 STATE AVE
CORAOPOLIS PA
15108-2051
US

IV. Provider business mailing address

1501 STATE AVE
CORAOPOLIS PA
15108-2051
US

V. Phone/Fax

Practice location:
  • Phone: 412-264-8830
  • Fax: 412-269-7766
Mailing address:
  • Phone: 412-264-8830
  • Fax: 412-269-7766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: KIMBERLY LYNN GRAFF
Title or Position: BILLING & INSURANCE
Credential: CPOC
Phone: 412-264-8830