Allen F Downum Jr., O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

NC0774 Issued in NC

Practice address

103 W Eden St
Edenton, NC 27932-1843

Phone

(252) 482-3218

Fax

(252) 482-8444

NPI assigned

Jul 26, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. A F Downum Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174523724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279320809",
            "telephone_number": "252-482-3218",
            "fax_number": "252-482-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W EDEN ST",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321843",
            "telephone_number": "252-482-3218",
            "fax_number": "252-482-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNUM",
        "first_name": "ALLEN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC0774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909239",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09239",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A",
            "last_name": "DOWNUM",
            "middle_name": "F",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "O. D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Optometrist in Edenton, NC
• Providers in Edenton, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.