MS. ROBERTA J. ALLEN (NPI# 1104170158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104170158 |
| Entity Type | Individual |
| Full Name | MS. ROBERTA J. ALLEN |
| Credential | RDO |
| Practice Address |
3590 Moorpark Ave San Jose CA 95117-2156 |
| Mailing Address |
3590 Moorpark Avenue San Jose CA 95117-2156 |
| Practice Telephone | 4082465150 |
| Practice Fax Number | 4082465154 |
| Mailing Telephone | 4082465150 |
| Mailing Fax Number | 4082465154 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
D 1119 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861938003 | Roberta Kathleen Allen | Speech-Language Pathologist | 110 Jonathan Ln, Greeneville, TN 37745-6512 | 2017-01-11 |
| 1730437179 | Roberta Allen | Social Worker | 22431 Millard Ave, Richton Park, IL 60471-2046 | 2012-08-15 |
| 1376628545 | Roberta Lou Allen | Social Worker | 3131 Bell St Ste 110, Amarillo, TX 79106-5029 | 2006-10-26 |
| 1588750053 | Roberta Maness Allen | Social Worker | 110 Glen Oban Dr, Arnold, MD 21012-2101 | 2006-10-04 |
| 1508877382 | Roberta R Allen | Physician Assistant | 2020 Sutter Pl, Suite 101, Davis, CA 95616-6201 | 2006-08-10 |
| Street Address |
3590 MOORPARK AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95117-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154978385 | Rebecca Giordano St George | Marriage & Family Therapist | 390 Spar Avenue Suite 106, San Jose, CA 95117 | 2019-08-22 |
| 1760035067 | Na Bao Inc | Acupuncturist | 631 Rebecca Way, Apt D, San Jose, CA 95117 | 2019-07-17 |
| 1801364823 | Acupuncture & Healing Inc | Acupuncturist | 4155 Moorpark Ave Ste #13, San Jose, CA 95117 | 2018-11-07 |
| 1689199770 | Youngsu Lyu | Chiropractor | 4010 Moorpark Ave Ste 109, San Jose, CA 95117 | 2017-08-09 |
| 1790139137 | January Villarreal | Speech-Language Pathologist | 4010 Moorpark Ave. #117, San Jose, CA 95117 | 2016-04-22 |
| 1780069187 | Il Hwan Park Chiropractic Clinic | Chiropractor | 4155 Moorpark Avenue, Suite 1, San Jose, CA 95117 | 2015-07-27 |
| 1285077073 | John Lockhart Mcelroy | Family Medicine | 3578 Moultrie Ave., San Diego, CA 95117 | 2013-04-10 |
| 1801134036 | Min Jung Kang | Acupuncturist | 4155 Moorpark Ave Ste 20, San Jose, CA 95117 | 2013-01-23 |
| 1356574420 | Scott Svendsen | Chiropractor | 3531 Stevens Creek Blvd., San Jose, CA 95117 | 2009-08-24 |
| 1316191893 | Christopher Corsa | Dentist | 4010 Moorpark Ave Ste 105, San Jose, CA 95117 | 2008-11-10 |
| Find all providers in zip 95117 | ||||
| Taxonomy Code | 156FC0801X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Contact Lens Fitter |
| An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235419722 | Aleanthea Cooks | Technician/Technologist | 1991 Central Ave, Ste 3, Highland, CA 92346-2442 | 2011-08-28 |
| 1588962260 | Linda K Holcroft | Technician/Technologist | 37398 Berkshire Dr Ste C, Madera, CA 93636-8779 | 2011-03-04 |
| 1801072418 | Duncan Yang | Technician/Technologist | 1758 Sierra Leone Ave Ste B, Rowland Heights, CA 91748-5837 | 2008-01-14 |
| 1548456585 | William V. Lyon | Technician/Technologist | 3000 W Macarthur Blvd Ste 413, Santa Ana, CA 92704-6941 | 2007-09-24 |
| 1265632152 | David Van Hartesvelt | Technician/Technologist | 12902 Foothill Blvd, Suite H, Sylmar, CA 91342-4900 | 2007-07-19 |
| 1760604797 | Reina A Zelaya | Technician/Technologist | 6909 Reseda Blvd, Reseda, CA 91335-4207 | 2007-05-02 |
| 1073649273 | Mid-peninsula Optical | Technician/Technologist | 883 Santa Cruz Ave, Menlo Park, CA 94025-4638 | 2007-02-24 |
| 1558417428 | Eye Connection Incorporated | Technician/Technologist | 208 Vintage Way Ste K11, Novato, CA 94945-5058 | 2007-01-25 |
| 1013074160 | Robert E Paquette Optician Inc | Technician/Technologist | 785 Castro St Ste C, Mountain View, CA 94041-2013 | 2007-01-01 |
| 1275698896 | Romualdo D. Enriquez | Technician/Technologist | 5805 Mission St, San Francisco, CA 94112-4017 | 2006-12-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.