Takeia J. Locke is a Sports Vision in Atlanta, Georgia. Takeia J. Locke practices all healthcare services and medical treatments related to Sports Vision. The NPI Number for Takeia J. Locke is 1619162203. The last update date is 2009-11-13.
Takeia J. Locke's current location address is 1270 Caroline St Ne, Atlanta, Georgia. You can contact this provider via phone number 2023207373 and fax number 6782989903. The mailing address for Takeia J. Locke is 1270 Caroline St Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Takeia J. Locke |
|---|---|
| Address | 1270 Caroline St Ne, Atlanta, Georgia |
| Phone Number | 2023207373 |
| Fax Number | 6782989903 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1619162203 |
|---|---|
| Provider Enumeration Date | 2007-09-07 |
| Last Updated Date | 2009-11-13 |
Provider Mailing Address Detail
| Address | 1270 Caroline St Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303072758 |
| Phone Number | 2023207373 |
| Fax Number | 6782989903 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Vision |
|---|---|
| Taxonomy | 152Ws0006X |
| Licence No | OPT002490 |
|
Definition: An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the preven |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 520474424B | GA | -- | |
| 520474424A | GA | -- |
Post Comment/ Review Below
What is the Takeia J. Locke's 1619162203?
The Takeia J. Locke's NPI (National Provider Identifier) Number is 1619162203. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Takeia J. Locke's physical address?
The Takeia J. Locke is physically located at 1270 Caroline St Ne, in the city of Atlanta, GA, with the postal code 303072758.
What is Takeia J. Locke's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Takeia J. Locke is Sports Vision, and the taxonomy classification code that categorizes this area of expertise is 152Ws0006X.
On what date did the Takeia J. Locke receive its 1619162203 assignment from the Centers for Medicare & Medicaid Services?
The Takeia J. Locke was assigned its 1619162203 by the Centers for Medicare & Medicaid Services on 2007-09-07.
When was the information pertaining to Takeia J. Locke most recently updated or revised?
The details related to Takeia J. Locke, including its address, specialty, and other relevant information, were last updated or revised on 2009-11-13.
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