NPI 1992018600 · live from the CMS NPI Registry
Michael John Atteberry, O.D.
Optometrist in Lawrence, KS. National Provider Identifier 1992018600, active.
NPI record
| NPI | 1992018600 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 3201 S Iowa, Lawrence, KS 66046 |
| Practice phone | 785-841-2020 |
| Mailing address | 5100 Bob Billings Pkwy, Ste 100, Lawrence, KS 66049 |
| Enumerated | July 22, 2010 |
| Last updated | February 12, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1860 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.