Healthcare Provider Details

I. General information

NPI: 1447163878
Provider Name (Legal Business Name): ALLEGHENY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E NORTH AVE STE 116
PITTSBURGH PA
15212-4746
US

IV. Provider business mailing address

420 E NORTH AVE STE 116
PITTSBURGH PA
15212-4746
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-6300
  • Fax: 412-359-6768
Mailing address:
  • Phone: 412-359-6300
  • Fax: 412-359-6768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DENISE NOEL
Title or Position: DIRECTOR PROVIDER ENROLLMENT
Credential:
Phone: 724-396-9664