Individual provider Active NPI

Monica Linette Allison, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1396884201
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5551TG Issued in TX
Practice address
810 Knights Cross Dr
Ste. 101
San Antonio, TX 78258-2980
Phone
(210) 495-9020
Fax
(210) 495-9398
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 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 5551TG TX Primary

Addresses

Primary practice location

810 Knights Cross Dr
Ste. 101
San Antonio, TX 78258-2980

Mailing address

810 Knights Cross Dr
Ste. 101
San Antonio, TX 78258-2980
Phone (210) 495-9020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040405001270 TX Practitioner - Optometry 5092708230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

1102 N Llano St
Suite a
Fredericksburg, TX 78624-0234
Phone (830) 997-0131

205 B W Water St
Kerrville, TX 78028-4252
Phone (830) 896-2600

3551 Justin Rd
Suite 150
Flower Mound, TX 75028-6213
Phone (972) 355-5152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5551TXMDChiropractor
5551TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Dec 2, 2019 Accepting new patients
Bridget Leesang OD Optometrist Past Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

205B W Water St
Kerrville, TX 78028
Phone (830) 896-2600

810 Knights Cross Dr
Ste 101
San Antonio, TX 78258
Phone (210) 495-9020

810 Knights Cross Dr
Ste 1
San Antonio, TX 78258
Phone (210) 495-9020

Organizations & group practices 3

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1396884201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 KNIGHTS CROSS DR",
            "address_2": "STE. 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582980",
            "telephone_number": "210-495-9020",
            "fax_number": "210-495-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 KNIGHTS CROSS DR",
            "address_2": "STE. 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582980",
            "telephone_number": "210-495-9020",
            "fax_number": "210-495-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "MONICA",
        "middle_name": "LINETTE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5551TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.