Kelli Atchison, ABOC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

194153 Issued in TX

Practice address

2750 W University Dr
Denton, TX 76201-1628

Phone

(940) 735-3123

NPI assigned

Jun 15, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1083399208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 W UNIVERSITY DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762011628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W UNIVERSITY DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762011628",
            "telephone_number": "940-735-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATCHISON",
        "first_name": "KELLI",
        "credential": "ABOC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "TX",
            "license": "194153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Jordan Ashford, DO
• Patricia Esame Ashu
• Sara Ashun
• Antonio Asis, M.D.
• Associated Pediatric Therapists P C
• Laurie Anne Aten, MD
• Jennifer Michele Atencio, MED., LPC
• Athlea Wellness PLLC
• Atique a. Khan M.D.P.a.
• Ronald West Atkins, M.D.

• Optician in Denton, TX
• Providers in Denton, TX by specialty
• Optician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.