Organization
J. MATHIS DIXON, OD, PC
Active
Other names
Advanced Eyecare Center
Organization subpart
No
Provider details
NPI number
Authorized official
J. MATHIS DIXON OD (OWNER)
(478) 987-5500
Entity
Organization
Contact information
Practice address
1105 MORNINGSIDE DR, PERRY, GA 31069-2905
(478) 987-5500
(478) 988-4628
Mailing address
1105 MORNINGSIDE DR, PERRY, GA 31069-2905
(478) 987-5500
(478) 988-4628
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 001187
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I415642
PTAN
GA
Enumeration date
08/11/2006
Last updated
01/03/2023
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