Sushmita De Allen, OD
Individual provider Active NPI Optometrist · Jamestown, NC
NPI 1891706511 · NPPES record last updated Oct 2, 2019
Key facts
- NPI
- 1891706511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1254 (NC)
- Practice address
- 205A Hillstone PL
Jamestown, NC 27282-2000 - Phone
- (336) 454-5151
- Fax
- (336) 841-2062
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
205 A Hillstone PL
Jamestown, NC 27282-2000
207 -B Oakdale Rd
Jamestown, NC 27282-9256
Phone (336) 454-5151
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 37 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120302000132 | NC | Practitioner - Optometry | 0446419980 | Practice locations: Jamestown, NC |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1254 | NC | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1254 | NC | Yes |
Addresses
Primary practice location
205A Hillstone PL
Jamestown, NC 27282-2000
Mailing address
PO Box 1288
Jamestown, NC 27282-1288
Phone (336) 454-5151
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2200711 | Other | UHC | |
| 0901G | Other | BCBS | |
| 890901G | Medicaid | NC |
Other providers in Jamestown, NC
- Mohammed Abuzuaiter
- Adams Farm Living Inc
- Amanda Brooks Adamski
- Hala Albaiti
- Balqis Tasleem Ali
- William Otis Ameen
- Ann-Jerrica Artis
- Ashlen Enterprises, LLC
- Rowaida Natale Ashol
- Lucy Pinson Barden
All providers in Jamestown, NC · Optometrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.