MEDICARE: DR. LLOYD MCALLISTER AND ASSOCIATES, P.C.

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	1230	CO

General Provider Information

NPI Number	:	1265697338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. LLOYD MCALLISTER AND ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	5755 N ACADEMY BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-3684
Country	:	US
Telephone Number	:	719-548-8717
Fax Number	:	719-548-8932

Provider Business Practice Location Address
First Line	:	5755 N ACADEMY BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-3684
Country	:	US
Telephone Number	:	719-548-8717
Fax Number	:	719-548-8932

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LLOYD MCALLISTER
Credential	:	OD
Telephone Number	:	719-548-8717

Provider Enumeration Date	:	07/28/2008
Last Update Date	:	07/28/2008

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