NPI 1497057459 · live from the CMS NPI Registry
Kilah Shea Atkinson, O.D.
Optometrist in Redmond, OR. National Provider Identifier 1497057459, active.
NPI record
| NPI | 1497057459 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 443 Sw Evergreen Ave, Redmond, OR 97756 |
| Practice phone | 541-923-2221 |
| Mailing address | Po Box 918, Redmond, OR 97756 |
| Enumerated | November 24, 2010 |
| Last updated | December 6, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 3434ATI (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.