MEDICARE: ALLEGHENY EYE ASSOCIATES

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	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1497925960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEGHENY EYE ASSOCIATES

Provider Business Mailing Address
First Line	:	846 CALIFORNIA AVE
Second Line	:
City	:	AVALON
State	:	PA
Zip	:	15202-2706
Country	:	US
Telephone Number	:	412-741-4610
Fax Number	:

Provider Business Practice Location Address
First Line	:	846 CALIFORNIA AVE
Second Line	:
City	:	AVALON
State	:	PA
Zip	:	15202-2706
Country	:	US
Telephone Number	:	412-741-4610
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JORGE BRUNO
Credential	:	M.D
Telephone Number	:	412-741-4610

Provider Enumeration Date	:	03/11/2008
Last Update Date	:	03/11/2008

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