Provider Demographics
NPI:1093770455
Name:CIANFLONE, JEFFREY PAUL (OD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:PAUL
Last Name:CIANFLONE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 OLD CLAIRTON RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236
Mailing Address - Country:US
Mailing Address - Phone:412-653-0277
Mailing Address - Fax:412-653-1141
Practice Address - Street 1:71 OLD CLAIRTON RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236
Practice Address - Country:US
Practice Address - Phone:412-653-0277
Practice Address - Fax:412-653-1141
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000981152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CI1417152OtherBCBS
PA324813OtherUMPC PROVIDER
PA1960435OtherBLUE SHIELD MEDICAL PROVI
97120OtherVISION BENEFITS OF AMERIC
066717REKMedicare ID - Type Unspecified
066709Medicare ID - Type UnspecifiedGROUP
PA4999820001Medicare NSC
CI1417152OtherBCBS