Locke, Takeia J.
Locke, Takeia J. is an individual health care provider with primary practice located at 1270 Caroline St Ne Suite D120-377, Atlanta GA 30307-2758. She recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Pediatrics is her primary health care specialty. Locke, Takeia J. can be contacted via phone (202) 320-7373.Contact Information
Primary practice address
1270 Caroline St Ne Suite D120-377
Atlanta GA 30307-2758
Phone: (202) 320-7373
Fax: (678) 298-9903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | OPT002490 | Georgia |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | OPT002490 | Georgia |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | OPT002490 | Georgia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT002490 | Georgia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC4271 | Florida |
Profile Details
| NPI number | 1619162203 |
|---|---|
| LBN Legal business name | Locke, Takeia J. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2007 |
| Last updated | Nov 13th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619162203 | NPPES |
| Georgia | MEDICAID | 520474424B | |
| Georgia | MEDICAID | 520474424A |
Popular Providers
-
Buck, Pauline Kolker
4770 Biscayne Blvd Suite 550, Miami FL 33137-3202 -
Soden, Richard
33 W 42Nd St , New York NY 10036-8005 -
Carlisle, Max L
111 E Broadway , Fairview OK 73737-2124 -
Graf, Jeffery Donald
754 S Main St Ste 6, Saint George UT 84770-5504 -
Goff, Kathleen E
2222 Montana Ave , El Paso TX 79903-3602 -
Mirkin, Daniel Scott
253 Beach 116Th St , Rockaway Park NY 11694-2102 -
Graf, Dale K.
105 W Orchard Ave , Selah WA 98942-1329 -
Steed, Cory Thomas
9435 W Russell Rd Suite 100, Las Vegas NV 89148-5608