Individual provider Active NPI

Patricia Jane Allen, O.D.

  • Optometrist
  • Blairsville, GA
National Provider Identifier
1104816461
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002876 Issued in GA
Practice address
235 Hwy 515 E, BLDG C
Blairsville, GA 30512
Phone
(706) 745-3900
Fax
(706) 745-2705
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002876 GA Primary

Addresses

Primary practice location

235 Hwy 515 E, BLDG C
Blairsville, GA 30512

Mailing address

164 Just a Mere Dr
Blairsville, GA 30512-5124
Phone (210) 392-9144

Other names 1

  • Dr. Patricia Jane Allen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20160923002036 GA Practitioner - Optometry 3870880511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Eye Care, PCGroup PAC ID 5193843076, 3 clinicians

Practice addresses (Care Compare)

253 Hwy 515 E
BLDG C
Blairsville, GA 30512-3697
Phone (706) 745-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Eye Care, PC Optometrist CurrentSince Jul 16, 2016 Accepting new patients
Gainesville Eye Associates LLC Optometrist Past Accepting new patients

Locations

253 Highway 515 E
Bldg C
Blairsville, GA 30512
Phone (706) 745-3900

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1104816461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 JUST A MERE DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305125124",
            "telephone_number": "210-392-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HWY 515 E, BLDG C",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "30512",
            "telephone_number": "706-745-3900",
            "fax_number": "706-745-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "PATRICIA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "ALLEN",
            "middle_name": "JANE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.