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Organization
DIXON OPTOMETRIC CENTER, INC.
Active
Organization
DIXON OPTOMETRIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A. LAWLESS O.D. (PRESIDENT)
(815) 284-2020
Entity
Organization
Contact information
Practice address
511 PALMYRA ST, DIXON, IL 61021-1953
(815) 284-2020
(815) 284-8326
Mailing address
511 PALMYRA ST, P O BOX 344, DIXON, IL 61021-1953
(815) 284-2020
(815) 284-8326
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144283821
DR. LAWLESS NPI
IL
01
—
1790981710
CORPORATE NPI
IL
Enumeration date
06/26/2007
Last updated
03/03/2008
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