Michael D Acker II, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

LDO002469 Issued in GA

Practice address

6065 Roswell Rd Ste 424
Atlanta, GA 30328-4014

Phone

(678) 349-7553

Fax

(404) 393-0860

NPI assigned

Aug 7, 2023

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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

• Dominion Partners Home Care of Atlanta LLC

  • In Home Supportive Care Agency
  • Atlanta, GA
  • NPI 1780184531
  NPD Authorized official
• University Vision Center LLC

  • Optometrist
  • Atlanta, GA
  • NPI 1467699629
  NPD

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1306528641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 ROSWELL RD STE 424",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284014",
            "telephone_number": "678-349-7553",
            "fax_number": "404-393-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 ROSWELL RD STE 424",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284014",
            "telephone_number": "678-349-7553",
            "fax_number": "404-393-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKER",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_suffix": "II",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO002469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Achram, MD
• Ack Compounding Pharmacy
• Andrew V Ackall, PHARMD
• Christi N Acker, DPT, PT
• Daniel E Acker, OTR
• Sheena Marie Acker, DC
• Ackerman Chiropractic Center, P.C.
• Jaime G Ackerman, PA-C
• Jeremy David Ackerman, M.D. P.H.D.
• Mark D Ackerman, PHD

• All providers in Atlanta, GA
• Optician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.