Individual provider Active NPI

Allison Larue, OD

  • Optometrist
  • Delray Beach, FL
National Provider Identifier
1932620978
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC005416 Issued in FL
Practice address
954 Kokomo Key Lane
Delray Beach, FL 33483
Phone
(561) 866-2988
NPI assigned
Jun 29, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC005416 FL Primary

Addresses

Primary practice location

954 Kokomo Key Lane
Delray Beach, FL 33483

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

119 Patterson Rd
Haines City, FL 33844-7803
Phone (863) 421-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210910000905 FL Practitioner - Optometry 7012313422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Eyecare and Optical, LLCGroup PAC ID 7416365978, 3 clinicians

Practice addresses (Care Compare)

4068 13TH St
Saint Cloud, FL 34769-6775
Phone (407) 892-0063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC005416FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Insight Eyecare and Optical, LLC Optometrist CurrentSince Feb 6, 2025 Accepting new patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients

Locations

119 Patterson Rd
Haines City, FL 33844
Phone (863) 419-1300

4068 13th St
Saint Cloud, FL 34769
Phone (407) 892-0063

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 893-4005

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932620978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 KOKOMO KEY LANE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33483",
            "telephone_number": "561-866-2988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Patterson Rd",
            "address_purpose": "LOCATION",
            "city": "Haines City",
            "state": "FL",
            "postal_code": "338447803",
            "country_code": "US",
            "telephone_number": "863-421-2700",
            "fax_number": "863-421-7629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARUE",
        "first_name": "ALLISON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC005416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.