Provider Demographics
NPI:1740264183
Name:ADKINS, DON ALLEN (OD)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:ALLEN
Last Name:ADKINS
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:1310 W STEWART DR
Mailing Address - Street 2:STE 310
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3838
Mailing Address - Country:US
Mailing Address - Phone:760-674-1908
Mailing Address - Fax:760-674-1902
Practice Address - Street 1:44139 MONTEREY AVE
Practice Address - Street 2:STE A
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-8700
Practice Address - Country:US
Practice Address - Phone:760-674-1908
Practice Address - Fax:760-674-1902
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2016-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAOPT 8924 TPL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU12983Medicare UPIN
CASD0089241Medicare PIN