NPIMap

Organization Active NPI

Allied Eye Associates, P.L.L.C.

  • Specialist
  • Chattanooga, TN
National Provider Identifier
1215134275
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
26334 Issued in TN
Legal business name
ALLIED EYE ASSOCIATES, P.L.L.C.
Practice address
7405 Shallowford Rd.
Suite 420
Chattanooga, TN 37421
Phone
(423) 855-8522
Fax
(423) 855-8533
NPI assigned
Jul 2, 2007
Last updated
Apr 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Izak F. Wessels, M.D.
Title
Ophthalmologist
Phone
(423) 855-8522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 26334 TN Primary

Addresses

Primary practice location

7405 Shallowford Rd.
Suite 420
Chattanooga, TN 37421

Mailing address

7405 Shallowford Rd.
Suite 420
Chattanooga, TN 37421
Phone (423) 855-8522

Other identifiers 1

IdentifierTypeStateIssuer
3381290MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1215134275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 SHALLOWFORD RD.",
            "address_2": "SUITE 420",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-855-8522",
            "fax_number": "423-855-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 SHALLOWFORD RD.",
            "address_2": "SUITE 420",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-855-8522",
            "fax_number": "423-855-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED EYE ASSOCIATES, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "WESSELS",
        "authorized_official_first_name": "IZAK",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "423-855-8522",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "26334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3381290",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.