Active NPI
Charles D. Allen, OD
- Optometrist
- Princeton, NJ
National Provider Identifier
1194728899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 270A00268000
- Practice address
- 601 Ewing St
Ste a-15
Princeton, NJ 08540-2757 - Phone
- (609) 924-3567
- Fax
- (609) 924-2852
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 270A00268000 | NJ | Primary |
Addresses
Primary practice location
601 Ewing St
Ste a-15
Princeton, NJ 08540-2757
Mailing address
601 Ewing St
Ste a-15
Princeton, NJ 08540-2761
Phone (609) 924-3567
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270A00268000 | NJ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1194728899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 EWING ST",
"address_2": "STE A-15",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085402761",
"telephone_number": "609-924-3567",
"fax_number": "609-924-2852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 EWING ST",
"address_2": "STE A-15",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085402757",
"telephone_number": "609-924-3567",
"fax_number": "609-924-2852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "CHARLES",
"middle_name": "D.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "270A00268000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.