MEDICARE: DR. KATHERINE 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	OD-T3556	TN

General Provider Information

NPI Number	:	1679921696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE ALLEN O.D.

Provider Business Mailing Address
First Line	:	7686 OAK RIDGE HWY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37931-3335
Country	:	US
Telephone Number	:	865-247-7715
Fax Number	:

Provider Business Practice Location Address
First Line	:	7686 OAK RIDGE HWY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37931-3335
Country	:	US
Telephone Number	:	865-247-7715
Fax Number	:

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

Provider Enumeration Date	:	05/31/2016
Last Update Date	:	06/30/2020

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