Provider Demographics
NPI:1386736494
Name:AKIN, HAROLD THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:THOMAS
Last Name:AKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 HIGHLAND TER STE B
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-2471
Mailing Address - Country:US
Mailing Address - Phone:615-890-0860
Mailing Address - Fax:615-890-0861
Practice Address - Street 1:503 HIGHLAND TER STE B
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-2471
Practice Address - Country:US
Practice Address - Phone:615-890-0860
Practice Address - Fax:615-890-0861
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD7081207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0840170OtherUNITED HEALTHCARE
TN3381209Medicaid
B02605OtherHEALTHSPRINGS
TN181101731Other181101731
TN002006222OtherBCBS
TN62109704637130A001OtherTRI-CARE
TN181101731Other181101731
TN62109704637130A001OtherTRI-CARE
TN0468640001Medicare NSC