Active NPI
Allyson D Palgon, O.D.
- Optometrist
- Davie, FL
National Provider Identifier
1194867069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0PC3791
- Practice address
- 1890 S University Dr
Davie, FL 33324-5808 - Phone
- (954) 476-6303
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0PC3791 | FL | Primary |
| Optometrist | 152W00000X | 07017T | TX |
Addresses
Primary practice location
1890 S University Dr
Davie, FL 33324-5808
Mailing address
1890 S University Dr
Davie, FL 33324-5808
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 |
|---|---|---|---|
| 0PC3791 | FL | MD | Optometrist |
| 07017T | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1194867069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1890 S UNIVERSITY DR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333245808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 S UNIVERSITY DR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333245808",
"telephone_number": "954-476-6303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALGON",
"first_name": "ALLYSON",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "0PC3791",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "07017T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.