Larry James Allen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S 494 TA 004 Issued in AL

Practice address

103 Grand Ave SW
Fort Payne, AL 35967-1915

Phone

(256) 845-0231

NPI assigned

Sep 28, 2006

Last updated

Jun 6, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1497846877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680317",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359681604",
            "telephone_number": "256-845-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 GRAND AVE SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359671915",
            "telephone_number": "256-845-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LARRY",
        "middle_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S 494 TA 004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Al Halaseh, D.O.
• Wael Al-Halaseh, MD
• Alabama Associates Chiropractic Clinic Inc.
• Alabama Em-I Medical Services
• Alabama Integrative Medicine Inc
• Corazon P Alvarado, APN
• America's Best Care Plus, Inc.
• American Hospice -- Fort Payne (american hospice)
• Megha Amin, DMD
• Anthony M Vizzinia

• Optometrist in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.