Organization Active NPI

Allegheny Vision Associates

  • Optometrist
  • South Park, PA
National Provider Identifier
1104848597
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000653 Issued in PA
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

Updated by the provider on Apr 9, 2026

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
172515602MedicaidPA
410039330OtherPAMEDICARE RAILROAD

Other names 1

  • community eye care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050421000824 PA Part B Supplier - Clinic/Group Practice 9931147790 Receives reassigned benefits from 2 practitioners
Practice locations: Monongahela, PA; South Park, PA; West Mifflin, PA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.