Organization
COSTELLO SR - ALLEN OPTOMETRISTS PLLC
Active
Other names
Allen Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW C ALLEN O.D. (OWNER)
(315) 363-4942
Entity
Organization
Contact information
Practice address
131 MAIN ST, SUITE 202, ONEIDA, NY 13421-1641
(315) 363-4942
(315) 363-4441
Mailing address
131 MAIN ST, SUITE 202, ONEIDA, NY 13421-1641
(315) 363-4942
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV002717
NY
152W00000X
Optometrist
TUV005917-1
NY
152W00000X
Optometrist
TUV006131
NY
152W00000X
Optometrist
TUV006206
NY
152W00000X
Optometrist
TUV007184
NY
152W00000X
Optometrist
TUV008323-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02302867
—
NY
05
—
02924674
—
NY
05
—
02961255
—
NY
01
—
410039620
RAILROAD MEDICARE
NY
Enumeration date
01/16/2009
Last updated
10/31/2016
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