Individual
SUSAN DALE NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5225 ELMORE AVE, DAVENPORT, IA 52807-3454
(563) 355-5731
(563) 355-5481
Mailing address
5225 ELMORE AVE, DAVENPORT, IA 52807-3454
(563) 355-5731
(563) 355-5481
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002567
IA
152W00000X
Optometrist
1845
KS
152W00000X
Optometrist
2009024362
MO
Other
Enumeration date
10/13/2009
Last updated
06/03/2016
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