Allen Eye Associates PA
Organization Active NPI Optometrist · Allen, TX
NPI 1114937331 · NPPES record last updated Aug 22, 2023
Key facts
- NPI
- 1114937331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ALLEN EYE ASSOCIATES PA
- Practice address
- 690 S Watters Rd
Allen, TX 75013-5008 - Phone
- (972) 727-6262
- Fax
- (972) 727-2120
- NPI assigned
- Aug 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. John H Wimbish, O.D.
- Title
- Doctor
- Phone
- (972) 727-6262
Practitioners 6
-
Richelle Renee Bean, O.D.
-
Lori Bourque, OPTOMETRIST
-
Dale Jay Lollar, O.D.
-
John Harold Wimbish, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050122000005 | TX | Part B Supplier - Clinic/Group Practice | 4587613070 |
Receives reassigned benefits from 6 practitioners Practice locations: Allen, TX |
National Provider Directory
Locations
1511 W McDermott Dr
Ste 100
Allen, TX 75013
Phone (214) 785-7537
1328 W McDermott Dr
Ste 225
Allen, TX 75013
Phone (972) 727-6262
690 S Watters Rd
Allen, TX 75013
Phone (972) 727-6262
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
690 S Watters Rd
Allen, TX 75013-5008
Mailing address
690 S Watters Rd
Allen, TX 75013-5008
Phone (972) 727-6262
Other names
- allenEYE.com
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.