NPI 1164614996 · live from the CMS NPI Registry
Gary Brian Atkinson, O.D.
Optometrist in Athens, GA. National Provider Identifier 1164614996, active.
NPI record
| NPI | 1164614996 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 55 Carlton Street, Uga University Health Center, Athens, GA 30602 |
| Practice phone | 706-542-5617 |
| Mailing address | 230 Kylas Way, Hull, GA 30646 |
| Enumerated | August 15, 2007 |
| Last updated | January 12, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | S-B29-TA-734 (AL) |
| Optometrist primary | 152W00000X | OPT002445 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.