Provider Demographics
NPI:1285686857
Name:ADKINS, ALLAN RAY (OD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:RAY
Last Name:ADKINS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 EASTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-2349
Mailing Address - Country:US
Mailing Address - Phone:336-884-3937
Mailing Address - Fax:336-884-5249
Practice Address - Street 1:1300 EASTCHESTER DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-2349
Practice Address - Country:US
Practice Address - Phone:336-884-3937
Practice Address - Fax:336-884-5249
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1975152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC093UFOtherBCBS PIN
NC5302430Medicaid
NC093UFOtherBCBS PIN
NC5302430Medicaid