Joseph Scott Allison, OD
Individual provider Active NPI Optometrist · Bryan, TX
NPI 1497867352 · NPPES record last updated Sep 23, 2020
Key facts
- NPI
- 1497867352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 03111TG (TX)
- Practice address
- 3811 Sagebriar Dr
Bryan, TX 77802-6107 - Phone
- (979) 774-0498
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040312000267 | TX | Practitioner - Optometry | 0840189486 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03111TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Regional Eye Center Optical LLC | Current |
Accepting new patients | |
| Texas Regional Eye Center PLLC | Optometrist | Current |
Accepting new patients |
| Allison Eye Care, PLLC | Optometrist | Current |
Accepting new patients |
| Bates & Harris O D Inc | Optometrist | Past |
Accepting new patients |
| Retina Center P a | Past |
Accepting new patients |
Locations
3811 Sagebriar Dr
Bryan, TX 77802
Phone (979) 774-0498
2806 E 29th St
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 03111TG | TX | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093471304 | Medicaid | TX | |
| 81284Q | Other | TX | BCBS ID # |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | joseph.allisonod.p1@direct.trec.nextgenshare.com | Health Information Exchange (HIE) |
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.