Active NPI
Kevin L Allison MD PA
- Ophthalmology Physician
- Lubbock, TX
National Provider Identifier
1316957798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- H7685
- Legal business name
- KEVIN L ALLISON MD PA
- Practice address
- 3812 24TH St
Lubbock, TX 79410-1814 - Phone
- (806) 793-7000
- Fax
- (806) 793-9048
- NPI assigned
- Aug 9, 2006
- Reactivated
- Feb 5, 2010
- Last updated
- Jun 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin L Allison, M.D.
- Title
- President/Ceo
- Phone
- (806) 793-7000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | H7685 | TX | Primary |
Addresses
Primary practice location
3812 24TH St
Lubbock, TX 79410-1814
Mailing address
3812 24TH St
Lubbock, TX 79410-1814
Phone (806) 793-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210639501 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
3812 24th St
Lubbock, TX 79410
Phone (806) 793-7000
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Ophthalmology Physician
- Lubbock, TX
- NPI 1922293059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275436800000",
"number": "1316957798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 24TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101814",
"telephone_number": "806-793-7000",
"fax_number": "806-793-9048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3812 24TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101814",
"telephone_number": "806-793-7000",
"fax_number": "806-793-9048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEVIN L ALLISON MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2010-06-02",
"deactivation_date": "2007-09-21",
"reactivation_date": "2010-02-05",
"status": "A",
"authorized_official_last_name": "ALLISON",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "806-793-7000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "H7685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "210639501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.