Stacie L. Atkins, O.D.
Individual provider Active NPI Optometrist · Burleson, TX
NPI 1922058056 · NPPES record last updated Jun 5, 2015
Key facts
- NPI
- 1922058056
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 5948T (TX)
- Practice address
- 130 NW John Jones Dr
Ste 216a
Burleson, TX 76028-5145 - Phone
- (817) 295-0100
- Fax
- (817) 295-5586
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5948T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dann Martin O.D.,P.a. | Optometrist | Past |
Accepting new patients |
| Tex Cole | Optometrist | Past | Accepting new patients |
| Sharon E Edwards OD PLLC | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5948T | TX | Yes |
Addresses
Primary practice location
130 NW John Jones Dr
Ste 216a
Burleson, TX 76028-5145
Mailing address
130 NW John Jones Dr
Ste 216a
Burleson, TX 76028-5145
Phone (817) 295-0100
Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.