Organization
TIMOTHY H. ATKINSON, O. D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY H. ATKINSON O. D. (PRESIDENT)
(989) 723-3094
Entity
Organization
Contact information
Practice address
301 N. BALL STREET, OWOSSO, MI 48867
(989) 723-3094
Mailing address
301 N. BALL STREET, OWOSSO, MI 48867
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900G865040
BCBS OF MICIHGAN
MI
Enumeration date
05/03/2007
Last updated
01/03/2011
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