Susan Marie Allen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12104T Issued in CA

Practice address

6252 S Central St
Aurora, CO 80016-5325

Phone

(303) 763-0611

Fax

(720) 274-5628

NPI assigned

Mar 26, 2007

Last updated

Jul 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Centennial Eye Associates PLLC

  • Ophthalmology Physician
  • Centennial, CO
  • NPI 1508903220

  Optometrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1124146659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6252 S CENTRAL ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165325",
            "telephone_number": "303-763-0611",
            "fax_number": "720-274-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6252 S CENTRAL ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165325",
            "telephone_number": "303-763-0611",
            "fax_number": "720-274-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12104T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0121040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Allen, MD
• Michael Allen, LMT
• Micki Allen, LPC
• Naftalina Allen, ADMINISTRATOR
• Renee Marie Allen, OTR
• Sydney Allen
• Tirsa Allen, LCSW
• Taylor Allenby, MD
• Matthew Allender
• Michelle Johnson Alletag, M.D.

• Optometrist in Aurora, CO
• Providers in Aurora, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.