MEDICARE: ALLEN EYE ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1114937331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEN EYE ASSOCIATES PA

Provider Business Mailing Address
First Line	:	690 S WATTERS RD
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-5008
Country	:	US
Telephone Number	:	972-727-6262
Fax Number	:	972-727-2120

Provider Business Practice Location Address
First Line	:	690 S WATTERS RD
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-5008
Country	:	US
Telephone Number	:	972-727-6262
Fax Number	:	972-727-2120

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. JOHN H WIMBISH
Credential	:	O.D.
Telephone Number	:	972-727-6262

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	08/22/2023

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Directions to “ALLEN EYE ASSOCIATES PA ” Practice Location

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