Organization Active NPI

Allen E Austin O D Inc

  • Optometrist
  • Orange, CA
National Provider Identifier
1659447936
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ALLEN E AUSTIN O D INC
Practice address
1 City Blvd W
#111
Orange, CA 92868-3621
Phone
(714) 634-0033
Fax
(714) 634-2277
NPI assigned
Nov 28, 2006
Last updated
Nov 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Dr. Allen E Austin, O.D.NPI 1386638476
Title
Ceo
Phone
(714) 634-0033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1 City Blvd W
#111
Orange, CA 92868-3621

Mailing address

1 City Blvd W
#111
Orange, CA 92868-3621
Phone (714) 634-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061221000526 CA Part B Supplier - Clinic/Group Practice 0840290862 Receives reassigned benefits from 2 practitioners
Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

1 City Blvd W
Ste 111
Orange, CA 92868
Phone (714) 634-0033

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1659447936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CITY BLVD W",
            "address_2": "#111",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683621",
            "telephone_number": "714-634-0033",
            "fax_number": "714-634-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CITY BLVD W",
            "address_2": "#111",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683621",
            "telephone_number": "714-634-0033",
            "fax_number": "714-634-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN E AUSTIN O D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-634-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.