Provider Demographics
NPI:1992220859
Name:ALLISON EYE CENTER LLC
Entity Type:Organization
Organization Name:ALLISON EYE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALLISON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:724-282-4054
Mailing Address - Street 1:1 HILLTOP PLZ
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-8905
Mailing Address - Country:US
Mailing Address - Phone:724-919-5027
Mailing Address - Fax:724-543-1341
Practice Address - Street 1:1 HILLTOP PLZ
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-8905
Practice Address - Country:US
Practice Address - Phone:724-919-5027
Practice Address - Fax:724-919-5027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-11
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty