Individual
DESSIE DEE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
200 14TH ST NW, AUSTIN, MN 55912-4699
(507) 437-3227
Mailing address
52185 320TH ST, BLOOMING PRAIRIE, MN 55917-8913
(605) 280-5114
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3618
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3618
LICENSE TO PRACTICE
MN
Enumeration date
06/02/2019
Last updated
10/03/2020
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