William Randolph Allen in Jasper - Optometrist
William Randolph Allen - NPI 1396770475
William Randolph Allen is a Optometrist in Jasper, Tennessee. William Randolph Allen practices all healthcare services and medical treatments related to Optometrist. The NPI Number for William Randolph Allen is 1396770475. The last update date is 2008-03-19.
William Randolph Allen's current location address is 4597 Main St, Jasper, Tennessee. You can contact this provider via phone number 4239424400 and fax number 4239424409. The mailing address for William Randolph Allen is 4597 Main St, Jasper, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Randolph Allen |
|---|---|
| Address | 4597 Main St, Jasper, Tennessee |
| Phone Number | 4239424400 |
| Fax Number | 4239424409 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1396770475 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2008-03-19 |
Provider Mailing Address Detail
| Address | 4597 Main St |
|---|---|
| City | Jasper |
| State | Tennessee (TN) |
| Post Code | 373473540 |
| Phone Number | 4239424400 |
| Fax Number | 4239424409 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | ODT001454 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3598696 | TN | -- | |
| 158100 | TN | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to William Randolph Allen by the Centers for Medicare & Medicaid Services?
The William Randolph Allen has been issued the NPI (National Provider Identifier) 1396770475 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where William Randolph Allen's facilities are situated?
The facilities of William Randolph Allen are physically located at the following address: 4597 Main St, Jasper, TN, 373473540.
What is the area of specialization for William Randolph Allen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for William Randolph Allen is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did William Randolph Allen receive its 1396770475 assignment from the Centers for Medicare & Medicaid Services?
The William Randolph Allen was assigned its 1396770475 on 2006-07-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to William Randolph Allen most recently updated or refreshed?
The details pertaining to the William Randolph Allen, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-19.