Organization Active NPI

Michael B. Allee OD PC

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1659538171
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODT-896 Issued in TN
Legal business name
MICHAEL B. ALLEE OD PC
Practice address
4722 Western Ave
Knoxville, TN 37921-3303
Phone
(865) 588-1886
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Michael B AlleeNPI 1659433035
Title
Owner
Phone
(865) 588-1886

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ODT-896 TN Primary
Eyewear Supplier 332H00000X 0896 TN

Addresses

Primary practice location

4722 Western Ave
Knoxville, TN 37921-3303

Mailing address

4722 Western Ave
Knoxville, TN 37921-3303
Phone (865) 588-1886

Other identifiers 1

IdentifierTypeStateIssuer
3595589MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111221000347 TN Part B Supplier - Clinic/Group Practice 3173642568 Receives reassigned benefits from 3 practitioners
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

4722 Western Ave
Knoxville, TN 37921
Phone (865) 588-1886

Practitioners & affiliated clinicians

Practitioners 3

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1659538171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 WESTERN AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379213303",
            "telephone_number": "865-588-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 WESTERN AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379213303",
            "telephone_number": "865-588-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B. ALLEE OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "ALLEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-588-1886"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT-896",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TN",
            "license": "0896",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3595589",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.