Individual provider Active NPI

Allen E. Austin, O. D.

  • Optometrist
  • Orange, CA
National Provider Identifier
1386638476
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10743T Issued in CA
Practice address
1 City Blvd W
Suite #111
Orange, CA 92868-3621
Phone
(714) 634-0033
Fax
(714) 634-2277
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10743T CA Primary

Addresses

Primary practice location

1 City Blvd W
Suite #111
Orange, CA 92868-3621

Mailing address

1 City Blvd W
Suite #111
Orange, CA 92868-3621
Phone (714) 634-0033

Other identifiers 11

IdentifierTypeStateIssuer
8640461OtherCACIGNA
113367OtherCAEYEMED VISION INSURANCE
1282OtherCASUPERIOR
AUSTIN OPTOMETRYOtherCAUNITED HEALTHCARE
SD0107430MedicaidCA
95-3314781OtherCAVISION CARE PLAN
48787OtherCASAFEGUARD VISION INSURANC
9353511OtherCAPRIVATE HEALTHCARE SYSTEM
2289OtherCAMEDICA EYE SERVICES
95-3314781OtherCATRICARE
AO7535OtherCASPECTERA VISION INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20061221000536 CA Practitioner - Optometry 2567462591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 City Blvd W
Suite 111
Orange, CA 92868-3609
Phone (714) 634-0033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10743TCAMDOptometrist
10743CAMDOccupational Therapist

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.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1386638476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CITY BLVD W",
            "address_2": "SUITE #111",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683621",
            "telephone_number": "714-634-0033",
            "fax_number": "714-634-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CITY BLVD W",
            "address_2": "SUITE #111",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683621",
            "telephone_number": "714-634-0033",
            "fax_number": "714-634-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "ALLEN",
        "middle_name": "E.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10743T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8640461",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION INSURANCE",
            "identifier": "113367",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR",
            "identifier": "1282",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "AUSTIN OPTOMETRY",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0107430",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION CARE PLAN",
            "identifier": "95-3314781",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD VISION INSURANC",
            "identifier": "48787",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "9353511",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA EYE SERVICES",
            "identifier": "2289",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "95-3314781",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA VISION INSURANCE",
            "identifier": "AO7535",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.