Individual
JOHN RICHARD DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
151 W MAIN ST, WILMINGTON, OH 45177-2238
(937) 382-6643
(937) 382-6644
Mailing address
151 W MAIN ST, WILMINGTON, OH 45177-2238
(937) 382-6643
(937) 382-6644
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3019T406
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0199628
—
OH
Enumeration date
03/31/2006
Last updated
06/15/2016
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