Active NPI
Lloyd D McAllister, OD
- Optometrist
- Colorado Springs, CO
National Provider Identifier
1962404061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1230
- Practice address
- 5755 N Academy Blvd
Colorado Springs, CO 80918-3684 - Phone
- (719) 548-8717
- Fax
- (719) 548-8932
- NPI assigned
- Aug 10, 2005
- Reactivated
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1230 | CO | Primary |
Addresses
Primary practice location
5755 N Academy Blvd
Colorado Springs, CO 80918-3684
Mailing address
3346 Cinema PT
Colorado Springs, CO 80922-2815
Phone (719) 591-1229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1230 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1962404061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3346 CINEMA PT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809222815",
"telephone_number": "719-591-1229",
"fax_number": "719-637-2560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5755 N ACADEMY BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183684",
"telephone_number": "719-548-8717",
"fax_number": "719-548-8932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCALLISTER",
"first_name": "LLOYD",
"middle_name": "D",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2017-02-15",
"deactivation_date": "2006-03-23",
"reactivation_date": "2006-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "1230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.