Organization
WEST PENN ALLEGHENY EYE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY CAVLOVICH (OFFICE MANAGER)
(412) 621-7038
Entity
Organization
Contact information
Practice address
4815 LIBERTY AVE, M25, PITTSBURGH, PA 15224-2156
(412) 621-7038
(412) 578-1166
Mailing address
4815 LIBERTY AVE, M25, PITTSBURGH, PA 15224-2156
(412) 621-7038
(412) 578-1166
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016396750003
—
PA
Enumeration date
03/07/2007
Last updated
11/28/2007
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