Provider Demographics
NPI:1780848291
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 1:203 N REDWOOD ST
Mailing Address - Street 2:
Mailing Address - City:MASONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15461-1668
Mailing Address - Country:US
Mailing Address - Phone:724-583-7793
Mailing Address - Fax:724-583-9515
Practice Address - Street 1:203 N REDWOOD ST
Practice Address - Street 2:
Practice Address - City:MASONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15461-1668
Practice Address - Country:US
Practice Address - Phone:724-583-7793
Practice Address - Fax:724-583-9515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000488302F00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4579120002Medicare NSC