Individual provider Active NPI

Terry Lynn Adkins, O.D.

  • Optometrist
  • Troy, MI
National Provider Identifier
1407927007
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002780 Issued in MI
Practice address
334 John R Rd
Troy, MI 48083-4542
Phone
(248) 585-5830
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002780 MI Primary

Addresses

Primary practice location

334 John R Rd
Troy, MI 48083-4542

Mailing address

13301 Hall Rd
Shelby Corners
Shelby Township, MI 48315-5835
Phone (586) 286-8275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20060315000214 MI Practitioner - Optometry 8022025139 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901002780MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Aug 1, 2013 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Aug 1, 2013 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Luxottica Retail North America Inc Past Accepting new patients

Locations

6602 Telegraph Rd
Bloomfield Hills, MI 48301
Phone (248) 419-3500

22561 Gratiot Ave
Eastpointe, MI 48021
Phone (586) 350-2100

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

140 Macomb Pl
Mount Clemens, MI 48043
Phone (586) 464-1479

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407927007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 HALL RD",
            "address_2": "SHELBY CORNERS",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483155835",
            "telephone_number": "586-286-8275",
            "fax_number": "586-286-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 JOHN R RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834542",
            "telephone_number": "248-585-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "TERRY",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.