Individual
DR. CARL DAVID DODSON
Active
Individual
DR. CARL DAVID DODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3066
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000120473
ANTHEM BLUE CROSS BLUE SHIELD OF OHIO
OH
01
—
0171770001
ADMINASTAR/DMERC
OH
05
—
0260766
—
OH
01
—
580000506
MEDICARE-RAILROAD
OH
Enumeration date
10/03/2006
Last updated
04/23/2008
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