Organization Active NPI

Dr. Jody W. Atchley, Optometrist

  • Optometrist
  • Duncan, OK
National Provider Identifier
1710153127
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2056 Issued in OK
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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.NPI 1730244302
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
761730AMedicaidOK

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.