Dr Kenneth W Alpha, OD | |
1850 S Township Blvd, Suite 6, Pittston, PA 18640 | |
(570) 654-1641 | |
(570) 654-2835 |
Full Name | Dr Kenneth W Alpha |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1850 S Township Blvd, Pittston, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356353478 | NPI | - | NPPES |
410024725 | Other | RAILROAD MEDICARE | |
001240520 | Medicaid | PA | |
AL513333 | Other | HIGH MARK BLUE SHIELD | |
20987 | Other | GEISINGER HEALTH PLAN | |
072343 | Other | FIRST PRIORITY HEALTH | |
506554 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG000865 (Pennsylvania) | Primary |
Provider Name | Empire Vision Center Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750358826 PECOS PAC ID: 4688573876 Enrollment ID: O20040107000405 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth W Alpha, OD 200 Mifflin Ave, Scranton, PA 18503 Ph: (570) 342-3145 | Dr Kenneth W Alpha, OD 1850 S Township Blvd, Suite 6, Pittston, PA 18640 Ph: (570) 654-1641 |
Sabrina Kayla Steed, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 42 N Main St, Pittston, PA 18640 Phone: 570-654-0880 Fax: 570-655-9857 | |
Dr. James Patrick Bozzuto, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6 N Main St, Pittston, PA 18640 Phone: 570-654-2020 Fax: 570-655-6516 | |
Dr. Suzanne Proleika, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 390 Route 315 Hwy, Pittston, PA 18640 Phone: 570-883-9696 Fax: 570-654-3739 | |
Mrs. Carlene Ann Siracuse, OPTOMETRIST Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1850 S Township Blvd, Ste 6, Pittston, PA 18640 Phone: 570-651-1641 | |
Dr. Suzanne Proleika, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1201 Oak St, Pittston, PA 18640 Phone: 570-883-9696 Fax: 570-883-7265 | |
Dr. George Joseph Falcone, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2 W William St, Pittston, PA 18640 Phone: 570-655-2918 Fax: 570-655-3782 |