Provider Demographics
NPI:1194461699
Name:ALEGADO, ALVIN CASAO
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:CASAO
Last Name:ALEGADO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3625 RIGBY RD
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-4981
Mailing Address - Country:US
Mailing Address - Phone:937-247-2000
Mailing Address - Fax:
Practice Address - Street 1:3625 RIGBY RD
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-4981
Practice Address - Country:US
Practice Address - Phone:937-247-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-07
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT.007085152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist