Organization
JOHN RICHARD DICKINSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RICHARD DICKINSON DO (OPTOMETRIST)
(937) 584-2020
Entity
Organization
Contact information
Practice address
28 N HOWARD ST, SABINA, OH 45169-1150
(937) 584-2020
(937) 584-2080
Mailing address
28 N HOWARD ST, SABINA, OH 45169-1150
(937) 584-2020
(937) 584-2080
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
OH
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0199628
—
OH
Enumeration date
09/12/2007
Last updated
02/19/2008
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