Individual provider Active NPI

Arthur Morris Atkinson, O.D.

  • Optometrist
  • Williamsville, NY
National Provider Identifier
1114909827
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
UT0043581 Issued in NY
Practice address
170 Maple Rd
Williamsville, NY 14221-2930
Phone
(716) 907-9988
Fax
(716) 204-1104
NPI assigned
Nov 17, 2005
Last updated
Dec 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X UT0043581 NY Primary

Addresses

Primary practice location

170 Maple Rd
Williamsville, NY 14221-2930

Mailing address

PO Box 1068
Getzville, NY 14068-5068
Phone (716) 907-9988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041201000218 NY Practitioner - OptometryPractitioner - Chiropractic 4789649799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OptometryAlso: Chiropractic
Education
Illinois College of Optometry at Chicago, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew J. Siedlecki, M.D., PCGroup PAC ID 2860457025, 13 clinicians

Practice addresses (Care Compare)

3349 Southwestern Blvd
Orchard Park, NY 14127-1506
Phone (716) 634-8500

8962 Porter Rd
Niagara Falls, NY 14304-5700
Phone (716) 297-4465

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
UT0043581NYMDOptometrist
004358NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew J. Siedlecki, M.D., PC CurrentSince Aug 1, 2021 Accepting new patients
Dr. a M Atkinson LLC CurrentSince Apr 5, 2002 Accepting new patients
Sunrise Surgery Center LLC CurrentSince Sep 1, 2021 Accepting new patients
Eye Health Associates of Western New York PC Past Accepting new patients

Locations

2875 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 634-8500

3349 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 508-0995

2211 Sheridan Dr
Tonawanda, NY 14223
Phone (716) 534-8617

170 Maple Rd
Williamsville, NY 14221
Phone (716) 634-4050

Interoperability endpoints

  • Direct secure messaging: aatkinson@siedlecki.medentdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1114909827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1068",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140685068",
            "telephone_number": "716-907-9988",
            "fax_number": "716-204-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212930",
            "telephone_number": "716-907-9988",
            "fax_number": "716-204-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "ARTHUR",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "UT0043581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.