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Contact Information

RK ATANASOFF OD PC
131 W GENESEE ST
IRON RIVER, MI49935
 Phone: 906-265-9931
 Fax: 906-265-6202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for RK ATANASOFF OD PC

NPI Number 1912166166
LBN Legal business name RK ATANASOFF OD PC
Authorized official RAYMOND ATANASOFF - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/03/2008
Last updated 11/13/2008 - About 18 years ago
Identifiers
MI License # 2518
MI Medicaid 945047510
MI Other 900C665040 BLUE CROSS AND BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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