MEDICARE: BRIAN ATKINS OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC3681	FL

General Provider Information

NPI Number	:	1184637001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN ATKINS OD

Provider Business Mailing Address
First Line	:	3101 SW COLLEGE RD
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34474-8459
Country	:	US
Telephone Number	:	352-237-3768
Fax Number	:	352-237-4595

Provider Business Practice Location Address
First Line	:	3968 SW ARCHER RD # W101
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-2342
Country	:	US
Telephone Number	:	352-376-6622
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	03/17/2018

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