Individual provider Active NPI

Ann C. Allison, O.D.

  • Optometrist
  • Butler, PA
National Provider Identifier
1184667537
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000698 Issued in PA
Practice address
400 Butler CMNS
Vision Center 1885
Butler, PA 16001-2496
Phone
(724) 282-4054
Fax
(724) 282-5645
NPI assigned
Jun 14, 2006
Last updated
Aug 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000698 PA Primary

Addresses

Primary practice location

400 Butler CMNS
Vision Center 1885
Butler, PA 16001-2496

Mailing address

400 Butler CMNS
Vision Center 1885
Butler, PA 16001-2496
Phone (724) 282-4054

Other identifiers 1

IdentifierTypeStateIssuer
1015066900001MedicaidPA

Other names 1

  • Dr. Ann C Bennett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients
Armstrong Eye Care Associates, P.C. Optometrist PastSince Jul 14, 2021 Accepting new patients

Organizations & group practices 4

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1184667537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BUTLER CMNS",
            "address_2": "VISION CENTER 1885",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012496",
            "telephone_number": "724-282-4054",
            "fax_number": "724-282-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BUTLER CMNS",
            "address_2": "VISION CENTER 1885",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012496",
            "telephone_number": "724-282-4054",
            "fax_number": "724-282-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "ANN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015066900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "BENNETT",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.