MEDICARE: LINDA BRASSIL DAWSON O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OH4823	OH

General Provider Information

NPI Number	:	1164427225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA BRASSIL DAWSON O.D.

Provider Business Mailing Address
First Line	:	5081 N HAMILTON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-8001
Country	:	US
Telephone Number	:	614-478-8534
Fax Number	:	614-478-8507

Provider Business Practice Location Address
First Line	:	5081 N HAMILTON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-8001
Country	:	US
Telephone Number	:	614-478-8534
Fax Number	:	614-478-8507

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	02/11/2011

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