Organization Active NPI

Kevin L Allison MD PA

  • Ophthalmology Physician
  • Lubbock, TX
National Provider Identifier
1316957798
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H7685 Issued in TX
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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.NPI 1922293059
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
210639501MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.