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Contact Information

LARRY J ALLEN, OD
103 GRAND AVE SW
FORT PAYNE, AL35967-1915
 Phone: 256-845-0231
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LARRY J ALLEN · (Male)

NPI Number 1497846877
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/28/2006
Last updated 06/06/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # S 494 TA 004
  • AL Medicaid 000059724
  • AL Other 51059724 BCBS OF ALABAMA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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