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General NPI Number Information
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NPI Number | 1255865788
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Entity Type | Individual
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Provider Name | DREW DICKSON
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Gender | Male
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 17838 BURKE ST STE 100
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City | OMAHA
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State | NE
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Zip | 68118-2256
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Country | US
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Telephone | 402-558-2211
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Fax |
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Provider Business Mailing Address
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Address Line | 16318 SPRING CIR
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City | OMAHA
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State | NE
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Zip | 68130-2036
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Country | US
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Telephone | 402-677-1114
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD-52809
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 33546
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License Number State | NE
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