Keely Doreen Allen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003426A Issued in IN

Practice address

95 N Tennessee St
Danville, IN 46122-1223

Phone

(317) 699-2000

NPI assigned

Jul 18, 2006

Last updated

Sep 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Danville Family Eye Care LLCGroup PAC ID 4880992080, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Danville Family Eye Care LLC

  • Optometrist
  • Danville, IN
  • NPI 1710353412
  Medicare reassignment Care Compare group NPD Authorized official
• Emergency Medicine Specialists, P.C.

  • Emergency Medicine Physician
  • Danville, IN
  • NPI 1447365796
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1861411258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 N TENNESSEE ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221223",
            "telephone_number": "317-699-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 N TENNESSEE ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221223",
            "telephone_number": "317-699-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KEELY",
        "middle_name": "DOREEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003426A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000490514",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200854310",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00371968",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dauda Adekunle Ajibade, CEO
• Rukeme Ake-Uzoigwe, MD
• Megan N Aker, LCSW
• Muddassir Aliniazee, MD
• Jennifer L Allen, M.D.
• Alyssa B Stickley DDS, LLC (Danville Family Dentistry)
• Alyssa Stickley DDS PC
• American Health Network of Indiana, LLC
• Dustin P Andresen, M.D.
• Heather Armstrong, PSY.D. HSPP

• Optometrist in Danville, IN
• Providers in Danville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.