Active NPI
Joseph Scott Allison, OD
- Optometrist
- Bryan, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 03111TG
- Practice address
- 3811 Sagebriar Dr
Bryan, TX 77802-6107 - Phone
- (979) 774-0498
- NPI assigned
- Aug 31, 2006
- Last updated
- Sep 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093471304 | Medicaid | TX | |
| 81284Q | Other | TX | BCBS ID # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03111TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allison Eye Care, PLLC | Optometrist | Current | Accepting new patients |
| Texas Regional Eye Center PLLC | Optometrist | Current | Accepting new patients |
| Texas Regional Eye Center Optical LLC | Current | Accepting new patients | |
| Bates & Harris O D Inc | Optometrist | Past | Accepting new patients |
| Retina Center P a | Past | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Optometrist
- Victoria, TX
- NPI 1376088088
-
dba Texas Regional Eye Center
- Ophthalmology Physician
- Bryan, TX
- NPI 1790855898
Optometrist
-
dba Trec Opt
- Durable Medical Equipment & Medical Supplies
- Bryan, TX
- NPI 1902978513
-
- Ophthalmology Physician
- Bryan, TX
- NPI 1922006246
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.