Gregory a. Atkins

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002842 Issued in MI

Legal business name

GREGORY A. ATKINS

Practice address

1266 Sand Beach Rd
Bad Axe, MI 48413-8817

Phone

(989) 269-5393

Fax

(989) 269-6013

NPI assigned

Jan 20, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca J. Atkins

Title

Office Manager

Phone

(989) 269-5393

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1376780825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 SAND BEACH RD",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484138817",
            "telephone_number": "989-269-5393",
            "fax_number": "989-269-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 SAND BEACH RD",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484138817",
            "telephone_number": "989-269-5393",
            "fax_number": "989-269-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY A. ATKINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-269-5393",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942328232",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Bad Axe, MI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.