Individual
DR. JAMES A DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
430 ARLINGTON RD, SUITE B, BROOKVILLE, OH 45309-1103
(937) 770-1265
(937) 770-1268
Mailing address
1516 COMMONS DR, MIAMISBURG, OH 45342-7805
(308) 430-1305
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1234
NE
152W00000X
Optometrist
Primary
3342
OH
152WC0802X
Corneal and Contact Management Optometrist
1234
NE
152WC0802X
Corneal and Contact Management Optometrist
3342
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07163
BLUE CROSS BLUE SHIELD
NE
Enumeration date
06/20/2005
Last updated
08/12/2013
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