# DR. TAKEIA J. LOCKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619162203
- **Gender:** F
- **Credential:** OD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4271 | FL | — |
| 152W00000X | Optometrist | OPT002490 | GA | — |
| 152WP0200X | Pediatric Optometrist | OPT002490 | GA | Yes |
| 152WS0006X | Sports Vision Optometrist | OPT002490 | GA | — |
| 152WV0400X | Vision Therapy Optometrist | OPT002490 | GA | — |

## Other

- **Enumeration date:** 09/07/2007
- **Last updated:** 11/13/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 520474424A | — | GA |
| 05 | — | 520474424B | — | GA |