Healthcare Provider Details

I. General information

NPI: 1851226559
Provider Name (Legal Business Name): RETINA ASSOCIATES OF PENNSYLVANIA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3824 NORTHERN PIKE STE 405
MONROEVILLE PA
15146-2121
US

IV. Provider business mailing address

3824 NORTHERN PIKE STE 405
MONROEVILLE PA
15146-2121
US

V. Phone/Fax

Practice location:
  • Phone: 412-307-1740
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDER AIZMAN
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 646-633-2030