MEDICARE: ALLE-KISKI EYE CARE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	311359	OTHER	PA	UPMC
2	397307	OTHER	PA	NVA
3	4476926	OTHER	PA	CIGNA
4	OMVUPMC0067	OTHER	PA	OPTICARE MANAGED VISION
5	150874	OTHER	PA	HEALTH ASSURANCE
6	8186-T	OTHER	PA	VISION BENEFITS OF AMERICA
7	825201	OTHER	PA	HIGHMARK
8	138595	OTHER	PA	COLE MANAGED VISION
9	150874	OTHER	PA	ADVANTRA
10	49995	OTHER	PA	DAVIS VISION
11	138595	OTHER	PA	EYEMED
12	150874	OTHER	PA	HEALTH AMERICA
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437395852
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLE-KISKI EYE CARE INC.

Provider Business Mailing Address
First Line	:	1423 PITTSBURGH ST
Second Line	:
City	:	CHESWICK
State	:	PA
Zip	:	15024-1448
Country	:	US
Telephone Number	:	724-274-8383
Fax Number	:

Provider Business Practice Location Address
First Line	:	1423 PITTSBURGH ST
Second Line	:
City	:	CHESWICK
State	:	PA
Zip	:	15024-1448
Country	:	US
Telephone Number	:	724-274-8383
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. COLLETTE QUINTEN
Credential	:
Telephone Number	:	724-274-8383

Provider Enumeration Date	:	01/07/2009
Last Update Date	:	06/14/2011

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Directions to “ALLE-KISKI EYE CARE INC. ” Practice Location

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