Active NPI
Dr. Jody W. Atchley, Optometrist
- Optometrist
- Duncan, OK
National Provider Identifier
1710153127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2056
- Legal business name
- DR. JODY W. ATCHLEY, OPTOMETRIST
- Practice address
- 2204 1/2 N Highway 81
Duncan, OK 73533-1221 - Phone
- (580) 255-9717
- Fax
- (580) 255-7598
- NPI assigned
- May 6, 2008
- Last updated
- May 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jody W. Atchley, O.D.
- Title
- Owner
- Phone
- (580) 255-9717
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2056 | OK | Primary |
Addresses
Primary practice location
2204 1/2 N Highway 81
Duncan, OK 73533-1221
Mailing address
2204 1/2 N Highway 81
Duncan, OK 73533-1221
Phone (580) 255-9717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 761730A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
2204 N Highway 81
Duncan, OK 73533
Phone (580) 255-9717
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Duncan, OK
- NPI 1730244302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210032000000",
"number": "1710153127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 1/2 N HIGHWAY 81",
"city": "DUNCAN",
"state": "OK",
"postal_code": "735331221",
"telephone_number": "580-255-9717",
"fax_number": "580-255-7598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 1/2 N HIGHWAY 81",
"city": "DUNCAN",
"state": "OK",
"postal_code": "735331221",
"telephone_number": "580-255-9717",
"fax_number": "580-255-7598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JODY W. ATCHLEY, OPTOMETRIST",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A",
"authorized_official_last_name": "ATCHLEY",
"authorized_official_first_name": "JODY",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-255-9717",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "761730A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duncan, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.