Provider Demographics
NPI:1659433035
Name:ALLEE, MICHAEL B (OD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:B
Last Name:ALLEE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4722 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-3303
Mailing Address - Country:US
Mailing Address - Phone:865-588-1886
Mailing Address - Fax:865-588-2152
Practice Address - Street 1:4722 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37921-3303
Practice Address - Country:US
Practice Address - Phone:865-588-1886
Practice Address - Fax:865-588-2152
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNODT-896152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN70937OtherBLUECROSS BLUESHIELD
TN0661840001OtherDMERC
TN0661840001OtherDMERC
TN70937OtherBLUECROSS BLUESHIELD