Individual provider Active NPI

Allison Kirby Coleman, O.D.

  • Optometrist
  • Mesquite, TX
National Provider Identifier
1669716569
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8064T Issued in TX
Practice address
6000 Town East Mall
Attn: JC Penney Optical
Mesquite, TX 75150
Phone
(972) 686-2555
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8064T TX Primary

Addresses

Primary practice location

6000 Town East Mall
Attn: JC Penney Optical
Mesquite, TX 75150

Mailing address

6000 Town East Mall
Attn JC Penney Optical
Mesquite, TX 75150
Phone (972) 686-2555

Other practice location 1

951 W Belt Line Rd
DeSoto, TX 75115-3741
Phone (214) 403-1794

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130620000184 TX Practitioner - Optometry 3274772405 Reassigns benefits to 2 organizations
Practice locations: Mesquite, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas ServicesGroup PAC ID 9830089846, 3 clinicians

Practice addresses (Care Compare)

3717 W Camp Wisdom Rd
Dallas, TX 75237-2509
Phone (214) 828-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8064TXMDChiropractor
8064TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Services Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Excel Eyecare, LLC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Dr. Krystina Pham & Associates Optometrist CurrentSince Mar 12, 2024 Accepting new patients

Locations

605 River Rock Blvd
Murfreesboro, TN 37128

4195 Milam St
Beaumont, TX 77707
Phone (409) 842-4450

6185 Retail Rd
Ste 210
Dallas, TX 75231
Phone (469) 232-2010

3717 W Camp Wisdom Rd
Dallas, TX 75237
Phone (214) 828-4600

5442 La Sierra Dr
Dallas, TX 75231
Phone (214) 328-9900

6649 N Riverside Dr
Ft Worth, TX 76137
Phone (817) 431-5778

321 N Shiloh Rd
Garland, TX 75042
Phone (972) 276-9571

9602 Huffmeister Rd
Houston, TX 77095
Phone (281) 463-9001

521 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 251-9978

609 Rio Concho Dr
San Angelo, TX 76903
Phone (325) 245-4151

6602 Memorial Dr
Texas City, TX 77591
Phone (409) 935-2451

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1669716569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 TOWN EAST MALL",
            "address_2": "ATTN JC PENNEY OPTICAL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-686-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 TOWN EAST MALL",
            "address_2": "ATTN: JC PENNEY OPTICAL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-686-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 W Belt Line Rd",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751153741",
            "country_code": "US",
            "telephone_number": "214-403-1794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "ALLISON",
        "middle_name": "KIRBY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8064T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.