Individual
PEGGY DIXON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1300 BROADCASTING RD, WYOMISSING, PA 19610-3220
(570) 628-4444
(610) 396-9999
Mailing address
201 E LAUREL BLVD, POTTSVILLE, PA 17901-2534
(570) 628-4444
(570) 628-3088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000165
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1044350
—
PA
Enumeration date
06/13/2006
Last updated
07/08/2007
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