Kerry Martin Atkins, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

WA 1750 Issued in WA

Practice address

941 6TH St S
Kirkland, WA 98033-6712

Phone

(425) 822-7685

Fax

(425) 889-1664

NPI assigned

Aug 31, 2006

Last updated

Jun 19, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

Berkeley Northeastern State University - College of Medicine, 1986

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyedentity, Inc.

  • Optometrist
  • Kirkland, WA
  • NPI 1477753226
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1366553141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 6TH ST S",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336712",
            "telephone_number": "425-822-7685",
            "fax_number": "425-889-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 6TH ST S",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336712",
            "telephone_number": "425-822-7685",
            "fax_number": "425-889-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "KERRY",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "WA 1750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2011187",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chanelle Astroff
• Atha Wellness and Dermatology (Atha Wellness)
• Morgane Marielle Atienza, ARNP
• Vernan I Atienza
• Yekaterina Atienza, PHARM. D
• Glenn Atkinson
• Anne M Auerbach, M.A. LMFT,LMHC, MHP
• Vladimir Augustin
• Ana Augusto
• Anam Ausaf

• Optometrist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.