Provider Demographics
NPI:1992861702
Name:CIANFLONE OPTOMETRY, LLC
Entity Type:Organization
Organization Name:CIANFLONE OPTOMETRY, LLC
Other - Org Name:WALK & CIANFLONE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:CIANFLONE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-653-0277
Mailing Address - Street 1:71 OLD CLAIRTON ROAD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-3916
Mailing Address - Country:US
Mailing Address - Phone:412-653-0277
Mailing Address - Fax:412-653-1141
Practice Address - Street 1:71 OLD CLAIRTON ROAD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-3916
Practice Address - Country:US
Practice Address - Phone:412-653-0277
Practice Address - Fax:412-653-1141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE007120T152W00000X
PAOEG000981152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA410049770OtherRAILROAD MEDICARE
PA324813OtherUPMC HEALTH PLAN PROVID
PACI1417152OtherBCBS FOR DR CIANFLONE
PAWA634207OtherBCBS FOR DR WALK
PA410048930OtherRAILROAD MEDICARE
PA1960435OtherBLUE SHIELD MEDICAL PROVI
PACI1417152OtherBCBS FOR DR CIANFLONE
PAWA634207OtherBCBS FOR DR WALK
PA1960435OtherBLUE SHIELD MEDICAL PROVI
PA066709Medicare ID - Type UnspecifiedMEDICARE GROUP