Individual provider Active NPI

Benjamin Johnston Allen, OD

  • Optometrist
  • Melissa, TX
National Provider Identifier
1013643246
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10569T Issued in TX
Practice address
2613 Sentinel Way Ste 400
Melissa, TX 75454-2798
Phone
(432) 692-4027
NPI assigned
Jul 29, 2022
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10569T TX Primary

Addresses

Primary practice location

2613 Sentinel Way Ste 400
Melissa, TX 75454-2798

Mailing address

2650 S McDonald St Apt 1222
McKinney, TX 75069-1442
Phone (806) 333-3340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901003570 TX Practitioner - Optometry 6406230846 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2613 Sentinel Way
Suite 400
Melissa, TX 75454-2798
Phone (432) 692-0460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brownwood Optometrists, P.C. Optometrist CurrentSince Apr 30, 2025 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Mar 1, 2025 Accepting new patients
Tso Melissa LLC Optometrist CurrentSince Aug 19, 2022 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

310 Early Blvd
Early, TX 76802
Phone (325) 643-1826

4775 Loma del Sur Dr
El Paso, TX 79934
Phone (512) 889-2020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

2613 Sentinel Way
Ste 400
Melissa, TX 75454
Phone (432) 692-0460

7915 W Loop 1604 N
Ste 118
San Antonio, TX 78254
Phone (210) 257-0940

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1013643246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 S MCDONALD ST APT 1222",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691442",
            "telephone_number": "806-333-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 SENTINEL WAY STE 400",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754542798",
            "telephone_number": "432-692-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "BENJAMIN",
        "middle_name": "JOHNSTON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10569T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melissa, TX

Sources for this page

Verify at the official NPI Registry.