Individual
DR. JOHN ERIC ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
608 JACKSON PARK RD, KANNAPOLIS, NC 28083-3660
(704) 938-1135
(704) 938-1200
Mailing address
608 JACKSON PARK RD, KANNAPOLIS, NC 28083-3660
(704) 938-1135
(704) 938-1200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1271
NC
152WC0802X
Corneal and Contact Management Optometrist
1271
NC
152WP0200X
Pediatric Optometrist
1271
NC
152WS0006X
Sports Vision Optometrist
1271
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890902B
—
NC
01
—
BC/BS
0902B
NC
Enumeration date
08/23/2006
Last updated
07/27/2010
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