Provider Demographics
NPI:1134319585
Name:ALTOONA OPHTHALMOLOGY ASSOCIATES,PC
Entity Type:Organization
Organization Name:ALTOONA OPHTHALMOLOGY ASSOCIATES,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:BUDD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-946-0821
Mailing Address - Street 1:501 HOWARD AVE
Mailing Address - Street 2:SUITE F1
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-4810
Mailing Address - Country:US
Mailing Address - Phone:814-946-0821
Mailing Address - Fax:814-941-2520
Practice Address - Street 1:501 HOWARD AVE
Practice Address - Street 2:SUITE F1
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4810
Practice Address - Country:US
Practice Address - Phone:814-946-0821
Practice Address - Fax:814-941-2520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0774610001Medicare NSC
PA637848Medicare PIN