Provider Demographics
NPI:1558357202
Name:AKERS, RICHARD EDWIN (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:EDWIN
Last Name:AKERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2555 COURT DRIVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-2187
Mailing Address - Country:US
Mailing Address - Phone:704-864-7789
Mailing Address - Fax:704-864-4884
Practice Address - Street 1:2555 COURT DRIVE
Practice Address - Street 2:SUITE 150
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2187
Practice Address - Country:US
Practice Address - Phone:704-864-7789
Practice Address - Fax:704-864-4884
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC19200207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10458OtherBCBS
NC10458OtherBC/BS
NC8910458Medicaid
NC8910458Medicaid
NC10458OtherBCBS
NCC85271Medicare UPIN