Takeia J. Locke, OD

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

OPT002490 Issued in GA

Practice address

1270 Caroline St NE
Suite D120-377
Atlanta, GA 30307-2758

Phone

(202) 320-7373

Fax

(678) 298-9903

NPI assigned

Sep 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: direct@familyeyecarecenteratlantaatlantaga.compulinkdirect.com

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1619162203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 CAROLINE ST NE",
            "address_2": "SUITE D120-377",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072758",
            "telephone_number": "202-320-7373",
            "fax_number": "678-298-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 CAROLINE ST NE",
            "address_2": "SUITE D120-377",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072758",
            "telephone_number": "202-320-7373",
            "fax_number": "678-298-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "TAKEIA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "GA",
            "license": "OPT002490",
            "primary": true
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "GA",
            "license": "OPT002490",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "GA",
            "license": "OPT002490",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002490",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4271",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520474424B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520474424A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Christine Lobello, PHARMD
• Roberto Leon Felipe Lobelo, MD, PHD
• Kenia Elizabeth Lobo Aranda, DO
• Christina Brooks Locke
• Julie Tran Locke, PA
• Jaiel Lockett, PA-C
• Kimberly M Lockett
• Marcus Lockett
• Reasheal Lockett, LMT
• Sydney Marie Lockhart

• Pediatric Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatric Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.