Individual provider Active NPI

Allison Paige Coll, OD

  • Optometrist
  • Gainesville, FL
National Provider Identifier
1376007096
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OCB5683 Issued in FL
Practice address
1601 SW Archer Rd
Gainesville, FL 32608-1135
Phone
(352) 262-4360
NPI assigned
Jan 27, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X OCB5683 FL Primary

Addresses

Primary practice location

1601 SW Archer Rd
Gainesville, FL 32608-1135

Mailing address

1274 Georgia LN
Hatfield, PA 19440-3226

Other practice location 1

1274 Georgia Ln
Hatfield, PA 19440-3226
Phone (215) 896-1681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200925000080 FL Practitioner - Optometry 2264851229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons of Florida PAGroup PAC ID 7113056292, 10 clinicians

Practice addresses (Care Compare)

4790 Barkley Cir
BLDG C
Fort Myers, FL 33907-7593
Phone (239) 936-8686

Merit-based Incentive Payment System (MIPS)

Final score
95.02 of 100Reported as group
Quality
94.6
Promoting interoperability
96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OCB5683FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians and Surgeons of Florida PA Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Eye Physicians and Surgeons of Florida PA Optometrist CurrentSince Jul 1, 2020 Accepting new patients

Locations

1616 Cape Coral Pkwy W
Ste 113
Cape Coral, FL 33914

4790 Barkley Cir
Bldg C
Fort Myers, FL 33907
Phone (239) 936-8686

4790 Barkley Cir
Ste C103
Fort Myers, FL 33907
Phone (239) 936-8686

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1376007096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 GEORGIA LN",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194403226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081135",
            "telephone_number": "352-262-4360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1274 Georgia Ln",
            "address_purpose": "LOCATION",
            "city": "Hatfield",
            "state": "PA",
            "postal_code": "194403226",
            "country_code": "US",
            "telephone_number": "215-896-1681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLL",
        "first_name": "ALLISON",
        "middle_name": "PAIGE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-27",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OCB5683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.