Healthcare Provider Details

I. General information

NPI: 1477180099
Provider Name (Legal Business Name): ALEN TONI EID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 SHARON NEW CASTLE RD
FARRELL PA
16121-1576
US

IV. Provider business mailing address

350 SHARON NEW CASTLE RD
FARRELL PA
16121-1576
US

V. Phone/Fax

Practice location:
  • Phone: 724-248-2020
  • Fax: 724-936-2021
Mailing address:
  • Phone: 724-248-2020
  • Fax: 724-936-2021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License NumberMD492781
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number33783
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: