MEDICARE: DR. ROBERT F. ALLEN O.D.

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	0898	NC
2	152W00000X	Optometrist	1077	SC

General Provider Information

NPI Number	:	1023041910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT F. ALLEN O.D.

Provider Business Mailing Address
First Line	:	890 WILLIAM HILTON PKWY STE 93
Second Line	:
City	:	HILTON HEAD
State	:	SC
Zip	:	29928-3419
Country	:	US
Telephone Number	:	843-681-2020
Fax Number	:	843-681-2030

Provider Business Practice Location Address
First Line	:	890 WILLIAM HILTON PKWY
Second Line	:
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29928-3418
Country	:	US
Telephone Number	:	843-681-2020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	07/26/2020

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