Individual provider Active NPI

Amy G Allen, OD

  • Optometrist
  • Opelika, AL
National Provider Identifier
1144944877
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-F14-TA-C83 Issued in AL
Practice address
2460 Interstate Dr Ste B
Opelika, AL 36801-1534
Phone
(334) 705-8803
NPI assigned
Sep 27, 2022
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-F14-TA-C83 AL Primary
Cornea and External Diseases Specialist Physician 207WX0120X S-F14-TA-C83 AL

Addresses

Primary practice location

2460 Interstate Dr Ste B
Opelika, AL 36801-1534

Mailing address

1240 Brookstone Centre Pkwy
Columbus, GA 31904-2954
Phone (334) 705-8803

Other identifiers 1

IdentifierTypeStateIssuer
S-F14-TA-C83OtherALOPTOMETRY

Other names 1

  • Dr. Amy G Allen Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL WWW.AUBURNLASIK.COM
CONNECT URL DRGRIFFIN@AUBURNLAIK.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230511003726 AL Practitioner - Optometry 9234595596 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Eye Care of Berryhill, LLCGroup PAC ID 4082614649, 5 clinicians
Daniels Optometric Services LLCGroup PAC ID 4183964737, 2 clinicians

Practice addresses (Care Compare)

2080 Berryhill Rd
Montgomery, AL 36117-3599
Phone (334) 387-2020

8621 Tara LN
Auburn, AL 36830-8242

8671 Tara LN
Auburn, AL 36830-8242
Phone (334) 387-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-F14-TA-C83ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniels Optometric Services, LLC Optometrist CurrentSince Oct 31, 2024 Accepting new patients
North Columbus Eye Center, PC Cornea and External Diseases Specialist CurrentSince Mar 1, 2023 Accepting new patients
Eye Care of Berryhill, LLC Optometrist CurrentSince Oct 31, 2024 Accepting new patients

Locations

2080 Berryhill Rd
Montgomery, AL 36117
Phone (334) 387-2020

1240 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 221-9702

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21450/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1144944877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 BROOKSTONE CENTRE PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042954",
            "telephone_number": "334-705-8803",
            "fax_number": "706-596-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 INTERSTATE DR STE B",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368011534",
            "telephone_number": "334-705-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "AMY",
        "middle_name": "G",
        "name_prefix": "Miss",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-F14-TA-C83",
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "AL",
            "license": "S-F14-TA-C83",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY",
            "identifier": "S-F14-TA-C83",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.AUBURNLASIK.COM",
            "affiliation": "N",
            "address_1": "2460 Interstate Dr Ste B",
            "city": "Opelika",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368011534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DRGRIFFIN@AUBURNLAIK.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2460 Interstate Dr Ste B",
            "city": "Opelika",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368011534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "ALLEN",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.