Provider Demographics
NPI:1609030766
Name:POUVOIR COMPANY LLC
Entity Type:Organization
Organization Name:POUVOIR COMPANY LLC
Other - Org Name:ALAN EYE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE CO-ORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-626-3937
Mailing Address - Street 1:1159 MORRIS ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15370-8148
Mailing Address - Country:US
Mailing Address - Phone:724-852-1212
Mailing Address - Fax:724-627-5659
Practice Address - Street 1:1159 MORRIS ST
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-8148
Practice Address - Country:US
Practice Address - Phone:724-852-1212
Practice Address - Fax:724-627-5659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000488152W00000X, 332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty