Provider Demographics
NPI:1154890242
Name:ALLISON GARMON, O.D., LLC
Entity type:Organization
Organization Name:ALLISON GARMON, O.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GARMON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:574-936-2272
Mailing Address - Street 1:109 N WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:IN
Mailing Address - Zip Code:46563-2142
Mailing Address - Country:US
Mailing Address - Phone:574-936-2272
Mailing Address - Fax:574-936-1283
Practice Address - Street 1:109 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:IN
Practice Address - Zip Code:46563-2142
Practice Address - Country:US
Practice Address - Phone:574-936-2272
Practice Address - Fax:574-936-1283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty