Provider Demographics
NPI:1902816564
Name:MOLINA, ALEJANDRO J (OPTOMETRIST)
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:J
Last Name:MOLINA
Suffix:
Gender:M
Credentials:OPTOMETRIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:644 MERCHANT ST
Mailing Address - Street 2:
Mailing Address - City:AMBRIDGE
Mailing Address - State:PA
Mailing Address - Zip Code:15003-2465
Mailing Address - Country:US
Mailing Address - Phone:724-266-4477
Mailing Address - Fax:724-266-3464
Practice Address - Street 1:644 MERCHANT ST
Practice Address - Street 2:
Practice Address - City:AMBRIDGE
Practice Address - State:PA
Practice Address - Zip Code:15003-2465
Practice Address - Country:US
Practice Address - Phone:724-266-4477
Practice Address - Fax:724-266-3464
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001792152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist