Provider Demographics
NPI:1932269636
Name:MONROEVILLE EYE CARE INC
Entity Type:Organization
Organization Name:MONROEVILLE EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-856-8175
Mailing Address - Street 1:2526 MONROEVILLE BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146
Mailing Address - Country:US
Mailing Address - Phone:412-856-8175
Mailing Address - Fax:412-823-2764
Practice Address - Street 1:2526 MONROEVILLE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2358
Practice Address - Country:US
Practice Address - Phone:412-856-8175
Practice Address - Fax:412-823-2764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA107147Medicare PIN