Allegheny Vision Associates | |
6305 Library Road, South Park, PA 15129-8308 | |
(412) 854-4130 | |
(412) 854-8175 |
Full Name | Allegheny Vision Associates |
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Type | Facility |
Speciality | Optometrist |
Location | 6305 Library Road, South Park, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104848597 | NPI | - | NPPES |
172515602 | Medicaid | PA | |
410039330 | Other | PA | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG000653 (Pennsylvania) | Primary |
Provider Name | Jeffrey D Boehme |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477540433 PECOS PAC ID: 1153404751 Enrollment ID: I20111128000511 |
Mailing Address | Practice Location Address |
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Allegheny Vision Associates 6305 Library Rd, P.o. Box 423, South Park, PA 15129-8502 Ph: (412) 854-4130 | Allegheny Vision Associates 6305 Library Road, South Park, PA 15129-8308 Ph: (412) 854-4130 |
Michael S. Mccaffrey, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6305 Library Rd, South Park, PA 15129 Phone: 412-854-4130 Fax: 412-854-8175 | |
Dr. David J Boehme, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6305 Library Rd, South Park, PA 15129 Phone: 412-854-4130 Fax: 412-854-8175 |