Individual provider Active NPI

Joseph Scott Allison, OD

  • Optometrist
  • Bryan, TX
National Provider Identifier
1497867352
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
03111TG Issued in TX
Practice address
3811 Sagebriar Dr
Bryan, TX 77802-6107
Phone
(979) 774-0498
NPI assigned
Aug 31, 2006
Last updated
Sep 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 03111TG TX Primary

Addresses

Primary practice location

3811 Sagebriar Dr
Bryan, TX 77802-6107

Mailing address

2102 Chippendale St
College Station, TX 77845-5581
Phone (979) 764-1527

Other identifiers 2

IdentifierTypeStateIssuer
093471304MedicaidTX
81284QOtherTXBCBS ID #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joseph.allisonod.p1@direct.trec.nextgenshare.com Health Information Exchange (HIE)

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
I20040312000267 TX Practitioner - Optometry 0840189486 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03111TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allison Eye Care, PLLC Optometrist CurrentSince Feb 1, 2017 Accepting new patients
Texas Regional Eye Center PLLC Optometrist CurrentSince Apr 1, 2005 Accepting new patients
Texas Regional Eye Center Optical LLC CurrentSince Dec 10, 2010 Accepting new patients
Bates & Harris O D Inc Optometrist PastSince Feb 1, 2017 Accepting new patients
Retina Center P a PastSince Apr 1, 2004 Accepting new patients

Locations

2806 E 29th St
Bryan, TX 77802
Phone (979) 774-0498

3811 Sagebriar Dr
Bryan, TX 77802
Phone (979) 774-0498

505 E Mockingbird Ln
Victoria, TX 77904
Phone (361) 578-2904

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: joseph.allisonod.p1@direct.trec.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1497867352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 CHIPPENDALE ST",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455581",
            "telephone_number": "979-764-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 SAGEBRIAR DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778026107",
            "telephone_number": "979-774-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "JOSEPH",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "03111TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093471304",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID #",
            "identifier": "81284Q",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joseph.allisonod.p1@direct.trec.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3811 Sagebriar Dr",
            "city": "Bryan",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778026107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.