Organization Active NPI

Robert M. Allen, OD, PC

  • Corneal and Contact Management Optometrist
  • Chantilly, VA
National Provider Identifier
1558483347
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
0618000726 Issued in VA
Legal business name
ROBERT M. ALLEN, OD, PC
Practice address
3910 Centreville Rd
#100
Chantilly, VA 20151-3279
Phone
(703) 830-6380
Fax
(703) 263-2441
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert M. Allen, O.D.
Title
President
Phone
(703) 830-6380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 0618000726 VA Primary

Addresses

Primary practice location

3910 Centreville Rd
#100
Chantilly, VA 20151-3279

Mailing address

3910 Centreville Rd
#100
Chantilly, VA 20151-3279
Phone (703) 830-6380

National Provider Directory

National Provider Directory

Locations

3910 Centreville Rd
Chantilly, VA 20151

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558483347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 CENTREVILLE RD",
            "address_2": "#100",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513279",
            "telephone_number": "703-830-6380",
            "fax_number": "703-263-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 CENTREVILLE RD",
            "address_2": "#100",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513279",
            "telephone_number": "703-830-6380",
            "fax_number": "703-263-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M. ALLEN, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-830-6380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "0618000726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.