Individual provider Active NPI

Jennifer Allee, O.D.

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1730517525
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD 3111 Issued in TN
Practice address
4722 Western Ave
Knoxville, TN 37921-3303
Phone
(865) 588-1886
Fax
(865) 588-2152
NPI assigned
Oct 15, 2013
Last updated
Oct 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD 3111 TN Primary

Addresses

Primary practice location

4722 Western Ave
Knoxville, TN 37921-3303

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210615002103 TN Practitioner - Optometry 6800296724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael B. Allee OD PCGroup PAC ID 3173642568, 3 clinicians

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD 3111TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael B. Allee OD PC Optometrist CurrentSince Feb 26, 2021 Accepting new patients

Locations

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

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1730517525",
    "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",
            "fax_number": "865-588-2152"
        },
        {
            "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",
            "fax_number": "865-588-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEE",
        "first_name": "JENNIFER",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD 3111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.