Provider Demographics
NPI:1114041951
Name:ALLEGHENY OPHTHALMOLOGY INC
Entity Type:Organization
Organization Name:ALLEGHENY OPHTHALMOLOGY INC
Other - Org Name:ALLEGHENY OPHTHALMOLOGY OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER VP
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:SIGAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-224-4240
Mailing Address - Street 1:2853 FREEPORT RD
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-1905
Mailing Address - Country:US
Mailing Address - Phone:724-224-4240
Mailing Address - Fax:
Practice Address - Street 1:2853 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-1905
Practice Address - Country:US
Practice Address - Phone:724-224-4240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015431530003Medicaid
PA0015431530003Medicaid