NPI Code Details Logo

NPI 1174555619

NPI 1174555619 : ANTHONY L AKER O.D. : PANAMA CITY, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1174555619
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ANTHONY L AKER O.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/07/2006
-----------------------------------------------------
    Last Update Date     |    03/20/2009
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2500 MARTIN LUTHER KING JR BLVD 
-----------------------------------------------------
    City                 |    PANAMA CITY
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32405-4412
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    850-784-3937
-----------------------------------------------------
    Fax                  |    850-522-9829
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2500 MARTIN LUTHER KING JR BLVD 
-----------------------------------------------------
    City                 |    PANAMA CITY
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32405-4412
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    850-784-3937
-----------------------------------------------------
    Fax                  |    850-522-9829
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    152W00000X
-----------------------------------------------------
    Taxonomy Name        |    Optometrist
-----------------------------------------------------
    License Number       |    OP 1617
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    152WC0802X
-----------------------------------------------------
    Taxonomy Name        |    Corneal and Contact Management Optometrist
-----------------------------------------------------
    License Number       |    OP 1617
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    152WP0200X
-----------------------------------------------------
    Taxonomy Name        |    Pediatric Optometrist
-----------------------------------------------------
    License Number       |    OP 1617
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.