Organization
PATRICK DAWSON LLC
Active
Other names
The Eye Site of Springfield
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK R DAWSON OD (OWNER)
(937) 399-4101
Entity
Organization
Contact information
Practice address
1674 N LIMESTONE ST, SPRINGFIELD, OH 45503
(937) 399-4101
(937) 399-2346
Mailing address
1674 N LIMESTONE ST, SPRINGFIELD, OH 45503
(937) 399-4101
(937) 399-2346
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2961
OH
152W00000X
Optometrist
4550
OH
152W00000X
Optometrist
4831
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029665
—
OH
05
—
0995240
—
OH
05
—
2260655
—
OH
05
—
2478993
—
OH
01
—
2961
LICENSE
OH
01
—
4550
LICENSE
OH
01
—
4831
LICENSE
OH
01
—
T1293
LICENSE
OH
01
—
T1696
LICENSE
OH
01
—
T617
LICENSE
OH
Enumeration date
04/12/2007
Last updated
08/22/2020
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