Organization Active NPI

Dr Brian Atkins and Associates LTD

  • Optometrist
  • Springfield, IL
National Provider Identifier
1386804292
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
468506 Issued in IL
Legal business name
DR BRIAN ATKINS AND ASSOCIATES LTD
Practice address
2765 Veterans Pkwy
Springfield, IL 62704-6402
Phone
(217) 787-6276
Fax
(217) 787-6245
NPI assigned
Jun 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Dr. Brian Douglas Atkins, OD
Title
President
Phone
(217) 787-6276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 468506 IL Primary

Addresses

Primary practice location

2765 Veterans Pkwy
Springfield, IL 62704-6402

Mailing address

2765 Veterans Pkwy
Springfield, IL 62704-6402
Phone (217) 787-6276

National Provider Directory

National Provider Directory

Locations

2765 S Veterans Pkwy
Springfield, IL 62704
Phone (217) 787-6276

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1386804292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 VETERANS PKWY",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046402",
            "telephone_number": "217-787-6276",
            "fax_number": "217-787-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 VETERANS PKWY",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046402",
            "telephone_number": "217-787-6276",
            "fax_number": "217-787-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRIAN ATKINS AND ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-787-6276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "468506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.