WILLIAM RANDOLPH ALLEN


Address: 4597 Main St, Jasper, TN 37347-3540
Phone: 4239424400

WILLIAM RANDOLPH ALLEN (NPI# 1396770475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396770475
Entity Type Individual
Full Name WILLIAM RANDOLPH ALLEN
Credential OD
Practice Address 4597 Main St
Jasper
TN 37347-3540
Practice Telephone 4239424400
Practice Fax Number 4239424409
Mailing Telephone 4239424400
Mailing Fax Number 4239424409
Enumeration Date 2006-07-11
Last Update Date 2008-03-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist ODT001454 TN Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 3598696 05
TN BLUE CROSS 0158100 01

Other Providers WILLIAM ALLEN

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1154937670 William Richard Allen Technician 301 96th St Apt A, Charleston, WV 25315-1843 2020-09-21
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1962045138 William Allen Contractor 5425 S Prestonwood Ave, North Chesterfield, VA 23234-6625 2019-10-21
1205314093 William Allen Counselor 1501 E El Paso St, Ft Worth, TX 76102-6700 2018-08-02
1144594425 William Allen Jr. Psychologist 476 E Mourning Dove Ct, Monticello, GA 31064-9240 2012-03-03
1891093860 William Chase Allen Specialist/Technologist, Other 8025 Sandorn Dr, Roswell, GA 30075-6733 2011-03-01
1932409133 William J. Allen Jr. Pediatrics 935 Highland Blvd., Suite 2200, Bozeman, MT 59715-6902 2010-10-22
1730497520 William Z Allen Physician Assistant 3175 Pocahontas.rd, Samg Baker Clinic Family Practice, Baker City, OR 97814 2010-09-15
1699913384 William Allen Physical Therapist 4215 S. Grand Canyon Dr., Suite 101, Las Vegas, NV 89147-7173 2009-02-03
1245481472 William Robert Allen Dentist 13901 Coastal Highway, Ocean City, MD 21842 2008-10-07

Office Location

Street Address 4597 MAIN ST
City JASPER
State TN
Zip Code 37347-3540

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629518626 Mary Elisabeth Jordan Clinical Nurse Specialist 4665 Main St Suite 2, Jasper, TN 37347 2017-02-24
1336569359 Kevin Stevens Emergency Medicine 1000 Tn-28, Jasper, TN 37347 2014-04-17
1487801924 Valley Imaging Partners, P.C. Radiology 1000 Hwy 28, Jasper, TN 37347 2008-08-27
1053494708 Elizabeth Rodgers Nurse Practitioner 215 Hickman Road, Jasper, TN 37347 2006-10-23
1386726875 Wal-mart Stores East, Lp Technician/Technologist 525 Kimball Crossing, Kimball, TN 37347 2006-10-20
1427033307 Karim D Hasnani Dentist 507 Betsy Pack Dr Suite B, Jasper, TN 37347 2005-12-13
1932184017 Craig John Cott Psychiatry & Neurology 215 Hickman Rd, Jasper, TN 37347 2005-12-12
1104817774 Karin B Boeck Family Medicine 24 Mountain View Drive, Suite A, Kimball, TN 37347 2005-11-02
1508344227 Faith Hannah Williams Registered Nurse 1000 Tn-28, Jasper, TN 37347 2018-08-03
1861752578 Jana Marlow Social Worker 215 Hickman Rd, Jasper, TN 37347 2012-05-29
Find all providers in zip 37347

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417589664 Kenny Holloway Od PC Optometrist 233 Sterling Rd, Jasper, GA 30143-3126 2020-02-05
1376827675 Patricia Galos, Od PC Optometrist 802 W Gibson St, Jasper, TX 75951-4914 2011-10-05
1770617300 Gilbert James O D Inc Optometrist 800 W Church St, Jasper, GA 30143-1406 2007-03-15
1285776294 Gregory K. Gordon Optometrist 471 Us 231 S, Jasper, IN 47546 2007-02-13
1114066081 Carey R Fracht Optometrist 130 N Austin St, Jasper, TX 75951-4102 2007-02-06
1750447017 Andrea Dee Sims Optometrist 1320 Highway 78 E, Jasper, AL 35501-3965 2006-12-29
1407954837 James Eye Associates, Pllc Optometrist 2051 S Wheeler St Ste C, Jasper, TX 75951-5600 2006-09-20
1265538508 Taibele Karen Wesley Optometrist 205 Oakhill Rd, Ste A, Jasper, AL 35504 2006-09-15
1922102425 Mark C Ferris Optometrist 309 19th St E, Jasper, AL 35501-5413 2006-09-13
1215047097 Daryl G Custred Optometrist 1499 N Airport Rd, Jasper, AL 35504-8882 2006-08-30
Find all providers in JASPER

Competitor

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City JASPER
Zip Code 37347

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Dataset Information

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.

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