Provider Demographics
NPI:1891879250
Name:AKRIGHT, DOUGLAS EARL (OD)
Entity type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:EARL
Last Name:AKRIGHT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12327 FOREST MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:MI
Mailing Address - Zip Code:48872-9160
Mailing Address - Country:US
Mailing Address - Phone:517-675-5505
Mailing Address - Fax:
Practice Address - Street 1:3040 VINE ST
Practice Address - Street 2:WALLACE OPTICIANS
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912
Practice Address - Country:US
Practice Address - Phone:517-332-8628
Practice Address - Fax:517-332-5504
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003072152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0736550001Medicare ID - Type Unspecified
U37064Medicare UPIN