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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | ODT001454 | TN | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3598696 | 05 | |
TN | BLUE CROSS | 0158100 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154937670 | William Richard Allen | Technician | 301 96th St Apt A, Charleston, WV 25315-1843 | 2020-09-21 |
1871120808 | William Francis Allen | Student in an Organized Health Care Education/Training Program | 5830 Memorial Hwy Apt 1309, Tampa, FL 33615-5063 | 2020-03-27 |
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 |
Street Address |
4597 MAIN ST |
City | JASPER |
State | TN |
Zip Code | 37347-3540 |
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 Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
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] |
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 |
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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.