Organization Active NPI

C. Troy Allred, O.D., Inc.

Doing business as Allred Family Eye Care

  • Optometrist
  • Fullerton, CA
National Provider Identifier
1710173844
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT7319 Issued in CA
Legal business name
C. TROY ALLRED, O.D., INC.
Doing business as
Allred Family Eye Care
Practice address
1601 E Chapman Ave
Fullerton, CA 92831
Phone
(714) 526-5515
Fax
(714) 526-5384
NPI assigned
Sep 21, 2007
Last updated
Jul 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Dr. Christopher Troy Allred, O.D
Title
Owner
Phone
(714) 526-5515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT7319 CA Primary

Addresses

Primary practice location

1601 E Chapman Ave
Fullerton, CA 92831

Mailing address

1601 E Chapman Ave
Fullerton, CA 92831-4015
Phone (714) 526-5515

Other practice location 1

1342 E Chapman Ave
Fullerton, CA 92831-3954
Phone (714) 526-5515

Other names 1

  • Allred Family Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121113000049 CA Part B Supplier - Clinic/Group Practice 8325299043 Receives reassigned benefits from 3 practitioners
Practice locations: Fullerton, CA

National Provider Directory

National Provider Directory

Locations

1342 E Chapman Ave
Fullerton, CA 92831
Phone (714) 526-5515

1601 E Chapman Ave
Fullerton, CA 92831
Phone (714) 526-5515

Practitioners & affiliated clinicians

Practitioners 4

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": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1710173844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314015",
            "telephone_number": "714-526-5515",
            "fax_number": "714-526-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92831",
            "telephone_number": "714-526-5515",
            "fax_number": "714-526-5384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1342 E Chapman Ave",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928313954",
            "country_code": "US",
            "telephone_number": "714-526-5515",
            "fax_number": "714-526-5384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "C. TROY ALLRED, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "ALLRED",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-526-5515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allred Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allred Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.