Karen Kay Allen, OPTICIAN
Individual provider
Active NPI
Optician · Wauneta, NE
NPI 1386217503 · NPPES record last updated Sep 4, 2021
Key facts
- NPI
- 1386217503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 171162 (NE)
- Practice address
- 308 N Tecumseh Ste 2
Wauneta, NE 69045-9501
- Phone
- (308) 394-5111
- Fax
- (308) 394-5111
- NPI assigned
- Jul 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|
| 171162 | NE | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|
| Eyelookgood LLC |
Optician |
Current
since Oct 5, 2021 |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
Optician
Group: 193400000X SINGLE SPECIALTY GROUP |
156FX1800X |
171162 |
NE |
Yes |
Addresses
Primary practice location
308 N Tecumseh Ste 2
Wauneta, NE 69045-9501
Mailing address
PO Box 63
Wauneta, NE 69045-0063
Phone (308) 394-5111
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| H12368166 | Medicaid | NE | |
| 87-1091622 | Medicaid | NE | |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|
| CONNECT URL |
Wauneta |
Health Information Exchange (HIE) |
|