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Contact Information

KENNETH W ALPHA, OD
1850 S TOWNSHIP BLVD
SUITE 6
PITTSTON, PA18640
 Phone: 570-654-1641
 Fax: 570-654-2835
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KENNETH W ALPHA · (Male)

NPI # 1356353478
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/13/2006
Last updated 01/05/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • PA License # OEG000865
  • PA Medicaid 001240520
  • Other 506554 AETNA
  • Other 072343 FIRST PRIORITY HEALTH
  • Other 20987 GEISINGER HEALTH PLAN
  • Other AL513333 HIGH MARK BLUE SHIELD
  • Other 410024725 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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