Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIAM RANDOLPH ALLEN, OD
Active Sole ProprietorWILLIAM RANDOLPH ALLEN, OD is a Optometrist healthcare provider located in JASPER, Tennessee. NPI 1396770475 is currently active in the NPPES registry. Verify at CMS.
Optometrist · JASPER, TN
Registration Details
- NPI Number
- 1396770475
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2006 (20.053466195388 yrs)
- Last Updated
- Mar 19, 2008
- License
-
ODT001454 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4597 MAIN STJASPER, TN, 373473540Browse TN providers · Browse ZIP 37347
- Phone
- 4239424400
- Fax
- 4239424409
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.