| 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. | 
|---|---|
| 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: 1201 Oak St, Pittston, PA 18640 Phone: 570-808-9800 Fax: 570-808-9801  | |
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  | |
Rebecca Lauren Lepovsky Braunsdorf, OD Optometrist Medicare: Medicare Enrolled Practice Location: 42 N Main St, Pittston, PA 18640 Phone: 570-654-0880 Fax: 570-655-9857  | |
Alissa M Coyne, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1201 Oak St, Pittston, PA 18640 Phone: 570-808-9800 Fax: 570-808-9801  |