Active NPI
Allegheny Vision Associates
- Optometrist
- South Park, PA
National Provider Identifier
1104848597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000653
- Legal business name
- ALLEGHENY VISION ASSOCIATES
- Practice address
- 6305 Library Rd
South Park, PA 15129-8502 - Phone
- (412) 854-4130
- Fax
- (412) 854-8175
- NPI assigned
- Jul 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Daneen Boehme
- Title
- Office Manager
- Phone
- (412) 854-4130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000653 | PA | Primary |
Addresses
Primary practice location
6305 Library Rd
South Park, PA 15129-8502
Mailing address
6305 Library Rd
P.O. Box 423
South Park, PA 15129-8502
Phone (724) 258-7695
Other practice location 1
811 W Main St
Monongahela, PA 15063-2815
Phone (724) 258-7695
Other practice location 2
3581 Mountain View Dr
West Mifflin, PA 15122-2447
Phone (412) 386-8968
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172515602 | Medicaid | PA | |
| 410039330 | Other | PA | MEDICARE RAILROAD |
Other names 1
- community eye care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
811 W Main St
Monongahela, PA 15063
Phone (724) 258-7695
6305 Library Rd
#423
South Park, PA 15129
6305 Library Rd
South Park, PA 15129
Phone (412) 854-4130
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- South Park, PA
- NPI 1861178428
-
- Optometrist
- South Park, PA
- NPI 1477540433
-
- Optometrist
- South Park, PA
- NPI 1073548822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775692800000",
"number": "1104848597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6305 LIBRARY RD",
"address_2": "P.O. BOX 423",
"city": "SOUTH PARK",
"state": "PA",
"postal_code": "151298502",
"telephone_number": "724-258-7695",
"fax_number": "412-854-8175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6305 LIBRARY RD",
"city": "SOUTH PARK",
"state": "PA",
"postal_code": "151298502",
"telephone_number": "412-854-4130",
"fax_number": "412-854-8175"
}
],
"practiceLocations": [
{
"address_1": "811 W Main St",
"address_purpose": "LOCATION",
"city": "Monongahela",
"state": "PA",
"postal_code": "150632815",
"country_code": "US",
"telephone_number": "724-258-7695",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3581 Mountain View Dr",
"address_purpose": "LOCATION",
"city": "West Mifflin",
"state": "PA",
"postal_code": "151222447",
"country_code": "US",
"telephone_number": "412-386-8968",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALLEGHENY VISION ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-24",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A",
"authorized_official_last_name": "BOEHME",
"authorized_official_first_name": "DANEEN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "412-854-4130",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172515602",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "410039330",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "community eye care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.