Provider Demographics
NPI:1114937331
Name:ALLEN EYE ASSOCIATES PA
Entity Type:Organization
Organization Name:ALLEN EYE ASSOCIATES PA
Other - Org Name:ALLENEYE.COM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:WIMBISH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-727-6262
Mailing Address - Street 1:690 S WATTERS RD
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5008
Mailing Address - Country:US
Mailing Address - Phone:972-727-6262
Mailing Address - Fax:972-727-2120
Practice Address - Street 1:690 S WATTERS RD
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-5008
Practice Address - Country:US
Practice Address - Phone:972-727-6262
Practice Address - Fax:972-727-2120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty