NPI 1104816461 · live from the CMS NPI Registry
Patricia Jane Allen, O.D.
Optometrist in Blairsville, GA. National Provider Identifier 1104816461, active.
NPI record
| NPI | 1104816461 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 235 Hwy 515 E, Bldg C, Blairsville, GA 30512 |
| Practice phone | 706-745-3900 |
| Mailing address | 164 Just A Mere Dr, Blairsville, GA 30512 |
| Enumerated | October 26, 2005 |
| Last updated | September 12, 2016 |
| Sole proprietor | No |
| Other names | Patricia Allen |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT002876 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.