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NPI Code Detail

MEDICARE: ALLISON PAGE DICKSON OD

MEDICARE:   ALLISON PAGE DICKSON  OD
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
1152W00000XOptometristOPC5771FL

Other Identifiers

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

General Provider Information

NPI Number : 1528547031
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON PAGE DICKSON OD
Provider Business Mailing Address
First Line : 1911 N MILLS AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1407
Country : US
Telephone Number : 727-266-2393
Fax Number : 727-266-2330
Provider Business Practice Location Address
First Line : 601 S BELCHER RD
Second Line :
City : CLEARWATER
State : FL
Zip : 33764-6301
Country : US
Telephone Number : 727-266-2393
Fax Number : 727-266-2330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2018
Last Update Date : 10/19/2020

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Directions to “ ALLISON PAGE DICKSON OD” Practice Location

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