Organization
RK ATANASOFF OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND KRIST ATANASOFF OD (OPTOMETRIST)
(906) 265-9931
Entity
Organization
Contact information
Practice address
131 W GENESEE ST, IRON RIVER, MI 49935
(906) 265-9931
(906) 265-6202
Mailing address
131 W GENESEE ST, IRON RIVER, MI 49935
(906) 265-9931
(906) 265-6202
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2518
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900C665040
BLUE CROSS AND BLUE SHIELD
MI
05
—
945047510
—
MI
Enumeration date
06/03/2008
Last updated
11/13/2008
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