Individual provider Active NPI

Emily Ann Allen, OD

  • Student in an Organized Health Care Education/Training Program
  • Huntington, WV
National Provider Identifier
1851087704
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1540 Spring Valley Dr
Huntington, WV 25704-9501
Phone
(304) 429-6755
Fax
(304) 429-7592
NPI assigned
Apr 13, 2023
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary
Optometrist 152W00000X 2327DT KY

Addresses

Primary practice location

1540 Spring Valley Dr
Huntington, WV 25704-9501

Mailing address

1083 Rockcastle Rd
Inez, KY 41224-8663
Phone (618) 554-7963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240725003954 KY Practitioner - Optometry 1153867114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flying Eye PLLCGroup PAC ID 0143607366, 2 clinicians

Practice addresses (Care Compare)

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 277-2692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2327DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Flying Eye PLLC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Flying Eye PLLC Optometrist CurrentSince Aug 1, 2024 Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

100 Highway 15 S
Ste 108
Jackson, KY 41339
Phone (606) 666-4585

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

Organizations & group practices 2

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": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1851087704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 ROCKCASTLE RD",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412248663",
            "telephone_number": "618-554-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 SPRING VALLEY DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257049501",
            "telephone_number": "304-429-6755",
            "fax_number": "304-429-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2327DT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.