Organization Active NPI

Allard Eye Care PLLC

  • Optometrist
  • Hobart, OK
National Provider Identifier
1023452463
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2637 Issued in OK
Legal business name
ALLARD EYE CARE PLLC
Practice address
704 N Hill St
Hobart, OK 73651-1641
Phone
(580) 726-3301
Fax
(580) 726-3302
NPI assigned
Apr 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Dr. Tyson Allard, O.D.NPI 1013116524
Title
Optometrist /Owner
Phone
(580) 726-3301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2637 OK Primary

Addresses

Primary practice location

704 N Hill St
Hobart, OK 73651-1641

Mailing address

704 N Hill St
Hobart, OK 73651-1641
Phone (580) 726-3301

Other identifiers 1

IdentifierTypeStateIssuer
200490370AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130823000320 OK Part B Supplier - Clinic/Group Practice 1850533084 Receives reassigned benefits from 2 practitioners
Practice locations: Clinton, OK; Weatherford, OK

National Provider Directory

National Provider Directory

Locations

704 N Hill St
Hobart, OK 73651
Phone (580) 726-3301

212 S Main St
Hobart, OK 73651
Phone (405) 701-1122

500 N Washington St
Ste 1
Weatherford, OK 73096
Phone (580) 772-3232

129 N Bradley St
Weatherford, OK 73096
Phone (580) 772-3232

Practitioners & affiliated clinicians

Practitioners 5

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": "1367020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1023452463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N HILL ST",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736511641",
            "telephone_number": "580-726-3301",
            "fax_number": "580-726-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N HILL ST",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736511641",
            "telephone_number": "580-726-3301",
            "fax_number": "580-726-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLARD EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "ALLARD",
        "authorized_official_first_name": "TYSON",
        "authorized_official_title_or_position": "OPTOMETRIST /OWNER",
        "authorized_official_telephone_number": "580-726-3301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200490370A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.