Provider Demographics
NPI:1871146308
Name:RYAN M ALPINO PLLC
Entity type:Organization
Organization Name:RYAN M ALPINO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ALPINO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-580-7466
Mailing Address - Street 1:134 GILLETTE AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40214-1914
Mailing Address - Country:US
Mailing Address - Phone:412-580-7466
Mailing Address - Fax:
Practice Address - Street 1:4917 DIXIE HWY STE H
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-2565
Practice Address - Country:US
Practice Address - Phone:502-447-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-23
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty