Individual provider Active NPI

Glenn Patrick Allouche, O.D.

  • Optometrist
  • Washington, DC
National Provider Identifier
1396862918
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP1000036 Issued in DC
Practice address
1201 F St NW
Washington, DC 20004-1217
Phone
(202) 347-9260
Fax
(202) 347-9264
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP1000036 DC Primary

Addresses

Primary practice location

1201 F St NW
Washington, DC 20004-1217

Mailing address

6345 St Timothys LN
Centreville, VA 20121-4822
Phone (703) 830-2369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396862918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 ST TIMOTHYS LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201214822",
            "telephone_number": "703-830-2369",
            "fax_number": "703-830-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 F ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200041217",
            "telephone_number": "202-347-9260",
            "fax_number": "202-347-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLOUCHE",
        "first_name": "GLENN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.