Allison Eye Care, PLLC
Organization Active NPI Optometrist · Victoria, TX
NPI 1376088088 · NPPES record last updated Jan 4, 2017
Key facts
- NPI
- 1376088088
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 3111TG (TX)
- Legal business name
- ALLISON EYE CARE, PLLC
- Practice address
- 505 E Mockingbird LN
Victoria, TX 77904-2043 - Phone
- (361) 578-2904
- NPI assigned
- Jan 4, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph S Allison, O.D.
- Title
- President
- Phone
- (979) 229-8407
Practitioners 4
-
Rachel Morris Adcock, O.D.
-
Loren C Wakham, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170201000703 | TX | Part B Supplier - Clinic/Group Practice | 6507149390 |
Receives reassigned benefits from 4 practitioners Practice locations: Victoria, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 3111TG | TX | Yes |
Addresses
Primary practice location
505 E Mockingbird LN
Victoria, TX 77904-2043
Mailing address
505 E Mockingbird LN
Victoria, TX 77904-2043
Phone (361) 578-2904
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.