Provider Demographics
NPI:1114909827
Name:ATKINSON, ARTHUR MORRIS (OD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:MORRIS
Last Name:ATKINSON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1068
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-5068
Mailing Address - Country:US
Mailing Address - Phone:716-907-9988
Mailing Address - Fax:716-204-1104
Practice Address - Street 1:170 MAPLE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-2930
Practice Address - Country:US
Practice Address - Phone:716-907-9988
Practice Address - Fax:716-204-1104
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYUT0043581152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT25913Medicare UPIN