Provider Demographics
NPI:1487825444
Name:L. B. ADKINS, O.D
Entity Type:Organization
Organization Name:L. B. ADKINS, O.D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:L.
Authorized Official - Middle Name:B
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:601-774-9529
Mailing Address - Street 1:PO BOX 270
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:MS
Mailing Address - Zip Code:39365-0270
Mailing Address - Country:US
Mailing Address - Phone:601-774-9529
Mailing Address - Fax:601-774-9529
Practice Address - Street 1:109 MAIN ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:MS
Practice Address - Zip Code:39365-2519
Practice Address - Country:US
Practice Address - Phone:601-774-9529
Practice Address - Fax:601-774-9529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS345152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty