Organization Active NPI

Stacie Atkins, O.D., P.a.

  • Optometrist
  • Burleson, TX
National Provider Identifier
1346630324
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5948T Issued in TX
Legal business name
STACIE ATKINS, O.D., P.A.
Practice address
130 NW John Jones Dr
Suite 216a
Burleson, TX 76028-5145
Phone
(817) 295-0100
Fax
(817) 295-5586
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Dr. Stacie Lynn Atkins, O.D.
Title
President
Phone
(214) 577-5324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5948T TX Primary

Addresses

Primary practice location

130 NW John Jones Dr
Suite 216a
Burleson, TX 76028-5145

Mailing address

130 NW John Jones Dr
Suite 216a
Burleson, TX 76028-5145
Phone (817) 295-0100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1346630324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 NW JOHN JONES DR",
            "address_2": "SUITE 216A",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285145",
            "telephone_number": "817-295-0100",
            "fax_number": "817-295-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 NW JOHN JONES DR",
            "address_2": "SUITE 216A",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285145",
            "telephone_number": "817-295-0100",
            "fax_number": "817-295-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACIE ATKINS, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-577-5324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5948T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.