DR. Richard Lee Allen, O.D.

NPI #1982791281 in Jerseyville, Illinois

Provider Information

NPI Number: 1982791281
Entity Type: Individual
Name: DR. Richard Lee Allen, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 204 S LAFAYETTE ST
City: Jerseyville
State: Illinois
ZIP Code: 62052-1657
Phone: (618) 498-1586

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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