Individual
PATRICK R DAWSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1674 N LIMESTONE ST, SPRINGFIELD, OH 45503-2652
(937) 399-4101
(937) 399-2346
Mailing address
1385 WILLOW CHASE DR, SPRINGFIELD, OH 45503-7720
(937) 399-2519
(937) 399-2346
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4831
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000338072
ANTHEM
OH
01
—
200806361029
CARESOURCE
OH
01
—
2201865
UNITED HEALTH CARE
OH
05
—
2260655
—
OH
01
—
260887
AETNA
OH
Enumeration date
06/13/2005
Last updated
07/09/2007
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