Gregory A. Atkins, O.D.
Individual provider Active NPI Optometrist · Bad Axe, MI
NPI 1942328232 · NPPES record last updated Jan 14, 2008
Key facts
- NPI
- 1942328232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901002842 (MI)
- Practice address
- 1266 Sand Beach Rd
Bad Axe, MI 48413-8817 - Phone
- (989) 269-7958
- Fax
- (989) 269-6013
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901002842 | MI | Yes |
Addresses
Primary practice location
1266 Sand Beach Rd
Bad Axe, MI 48413-8817
Mailing address
PO Box 249
Bad Axe, MI 48413-0249
Phone (989) 269-5393
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0C26507 | Other | MI | MEDICARE SUPPLIER # |
| 5098386 | Medicaid | MI |
Other providers in Bad Axe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2008. 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.