Provider Demographics
NPI:1437395852
Name:ALLE-KISKI EYE CARE INC.
Entity Type:Organization
Organization Name:ALLE-KISKI EYE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:COLLETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-274-8383
Mailing Address - Street 1:1423 PITTSBURGH ST
Mailing Address - Street 2:
Mailing Address - City:CHESWICK
Mailing Address - State:PA
Mailing Address - Zip Code:15024-1448
Mailing Address - Country:US
Mailing Address - Phone:724-274-8383
Mailing Address - Fax:
Practice Address - Street 1:1423 PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:CHESWICK
Practice Address - State:PA
Practice Address - Zip Code:15024-1448
Practice Address - Country:US
Practice Address - Phone:724-274-8383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-07
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA311359OtherUPMC
PA397307OtherNVA
PA4476926OtherCIGNA
PAOMVUPMC0067OtherOPTICARE MANAGED VISION
PA150874OtherHEALTH ASSURANCE
PA8186-TOtherVISION BENEFITS OF AMERICA
PA825201OtherHIGHMARK
PA138595OtherCOLE MANAGED VISION
PA150874OtherADVANTRA
PA49995OtherDAVIS VISION
PA138595OtherEYEMED
PA150874OtherHEALTH AMERICA
PA001806272000Medicaid
PAU77283Medicare UPIN
PA001806272000Medicaid
PA169282Medicare PIN