Organization
DICKSON OPTICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSIE G BRADFORD (ADMINISTRATOR)
(615) 446-8089
Entity
Organization
Contact information
Practice address
110 MATHIS DR, SUITE 108, DICKSON, TN 37055-2000
(615) 441-9996
(615) 441-3135
Mailing address
110 MATHIS DR, SUITE 108, DICKSON, TN 37055-2000
(615) 441-9996
(615) 441-3135
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/21/2008
Last updated
06/23/2008
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