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NPI Code Detail

MEDICARE: DR. COURTNEY ELIZABETH ALLEN OD

MEDICARE:  DR. COURTNEY ELIZABETH ALLEN  OD
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
1152W00000XOptometristOEG004173PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114607454
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COURTNEY ELIZABETH ALLEN OD
Provider Business Mailing Address
First Line : 3475 W CHESTER PIKE
Second Line :
City : NEWTOWN SQUARE
State : PA
Zip : 19073-4294
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3475 W CHESTER PIKE STE 100
Second Line :
City : NEWTOWN SQUARE
State : PA
Zip : 19073-4281
Country : US
Telephone Number : 610-422-7999
Fax Number : 610-422-7988
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2023
Last Update Date : 04/23/2026

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Directions to “ DR. COURTNEY ELIZABETH ALLEN OD” Practice Location

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