Individual provider Active NPI

Allison Marie Garmon, OD

  • Optometrist
  • Plymouth, IN
National Provider Identifier
1477816262
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003737A Issued in IN
Practice address
109 N Walnut St
Plymouth, IN 46563-2142
Phone
(574) 936-2272
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003737A IN Primary

Addresses

Primary practice location

109 N Walnut St
Plymouth, IN 46563-2142

Mailing address

109 N Walnut St
Plymouth, IN 46563-2142
Phone (574) 936-2272

Other identifiers 1

IdentifierTypeStateIssuer
201079890MedicaidIN

Other names 1

  • Allison Marie Burroughs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20120803000434 IN Practitioner - Optometry 9335395565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allison Garmon OD LLCGroup PAC ID 4789929613, 2 clinicians

Practice addresses (Care Compare)

333 E Jefferson St
Plymouth, IN 46563-3662
Phone (574) 936-2272

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allison Garmon, O.D., LLC Optometrist CurrentSince Nov 21, 2018 Accepting new patients

Locations

333 E Jefferson St
Plymouth, IN 46563
Phone (574) 936-2272

109 N Walnut St
Plymouth, IN 46563
Phone (219) 936-2272

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1477816262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N WALNUT ST",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465632142",
            "telephone_number": "574-936-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N WALNUT ST",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465632142",
            "telephone_number": "574-936-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARMON",
        "first_name": "ALLISON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003737A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201079890",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "BURROUGHS",
            "middle_name": "MARIE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, IN

Sources for this page

Verify at the official NPI Registry.