MEDICARE: DIXOPHTHAL PC

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	156FX1100X	Ophthalmic Technician/Technologist	040367	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801956909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIXOPHTHAL PC

Provider Business Mailing Address
First Line	:	PO BOX 71445
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31708-1445
Country	:	US
Telephone Number	:	229-439-7700
Fax Number	:	229-439-7283

Provider Business Practice Location Address
First Line	:	806 N JEFFERSON ST
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31701-2363
Country	:	US
Telephone Number	:	229-439-7700
Fax Number	:	229-439-7283

Authorized Official
Title or Position	:	OWNER
Name	:	DR. EL-ROY DEC DIXON
Credential	:	M.D.
Telephone Number	:	229-439-7700

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	03/24/2008

Similar Medicare Providers

1568804987 — NEDRA S FORTSON AGPCNP-BC, RN
Practice Location Address:

802 N JEFFERSON ST
ALBANY, GA
31701-2363

Practice Phone: 229-888-7445
Practice Fax: 229-888-7421

1528899135 — MT. ZION COMMUNITY REINVESTMENT CORPORATION
Practice Location Address:

802 N JEFFERSON ST
ALBANY, GA
31701-2363

Practice Phone: 229-888-7420
Practice Fax: 229-888-7421

1467459875 — DR. PHILIP G BUCHOVECKY D.C.
Practice Location Address:

530 ELLSWORTH ST SW
ALBANY, OR
97321-2363

Practice Phone: 541-926-6911
Practice Fax:

1609207679 — ALBANY CHIROPRACTIC CLINIC
Practice Location Address:

530 ELLSWORTH ST SW
ALBANY, OR
97321-2363

Practice Phone: 541-926-6911
Practice Fax: 541-926-8573

1760273866 — DIVINE LIGHT HOME HEALTH SERVICES
Practice Location Address:

2363 ALBANY WAY
WALDORF, MD
20603-3800

Practice Phone: 202-710-6011
Practice Fax:

1952447278 — EMERGING VISION, INC
Practice Location Address:

120 WASHINGTON AVE
ALBANY, NY
12210-2283

Practice Phone: 914-968-6600
Practice Fax: 914-968-6600

Directions to “DIXOPHTHAL PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.