Individual
DR. ALICIA A ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0003041
CO
152WP0200X
Pediatric Optometrist
0003041
CO
152WV0400X
Vision Therapy Optometrist
0003041
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010456
—
IL
01
—
502720045
MEDICARE PTAN
IL
05
—
99421224
—
CO
Enumeration date
06/29/2011
Last updated
06/23/2021
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