Provider Demographics
NPI:1285921296
Name:ATCHISON, ALISON PAIGE (OD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:PAIGE
Last Name:ATCHISON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:PAIGE
Other - Last Name:SCHUITEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1537 J ST
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:IN
Mailing Address - Zip Code:47421-3839
Mailing Address - Country:US
Mailing Address - Phone:812-675-0890
Mailing Address - Fax:812-675-0891
Practice Address - Street 1:1537 J ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421-3839
Practice Address - Country:US
Practice Address - Phone:812-675-0890
Practice Address - Fax:812-675-0891
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3853-35152W00000X
MN3838152W00000X
MDTA2895152W00000X
IN18003679A152WC0802X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
ININ1943004Medicare PIN
ININ1942004Medicare PIN