Physician Compare National (NPI:1659484889)

HEALTHCARE PROVIDER: VIVIAN JOANN ALLEN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1659484889
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062415672
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111207000171
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALLEN
	Individual professional last name
Provider First Name	VIVIAN
	Individual professional first name
Provider Middle Name	JO ANN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4130 SALISBURY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2000
	Group Practice or individual's line 2 address
City	JACKSONVILLE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	322168033
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9042962857
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y