Organization Active NPI

Albert a. Alley, LTD

  • Ophthalmology Physician
  • Lebanon, PA
National Provider Identifier
1104847193
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD009878E Issued in PA
Legal business name
ALBERT A. ALLEY, LTD
Practice address
1510 Cornwall Rd
Lebanon, PA 17042-7479
Phone
(717) 273-0662
Fax
(717) 270-9810
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Albert A Alley, M.D.
Title
Ophthalmologist
Phone
(717) 273-0662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD009878E PA Primary

Addresses

Primary practice location

1510 Cornwall Rd
Lebanon, PA 17042-7479

Mailing address

1510 Cornwall Rd
Lebanon, PA 17042-7479
Phone (717) 273-0662

Other identifiers 1

IdentifierTypeStateIssuer
0005958520002MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1104847193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 CORNWALL RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427479",
            "telephone_number": "717-273-0662",
            "fax_number": "717-270-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 CORNWALL RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427479",
            "telephone_number": "717-273-0662",
            "fax_number": "717-270-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT A. ALLEY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "ALLEY",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "717-273-0662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD009878E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005958520002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.