Individual
DR. LLOYD THEODORE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4741 S COCHISE DR, DISCOVER VISION CENTERS, INDEPENDENCE, MO 64055
(816) 478-1230
(816) 478-4413
Mailing address
4801 S CLIFF AVE STE 100, DISCOVER VISION CENTERS, INDEPENDENCE, MO 64055-6954
(816) 478-1230
(816) 350-4585
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1373
KS
152W00000X
Optometrist
Primary
T02290
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410036663
RAILROAD MEDICARE
MO
Enumeration date
08/23/2005
Last updated
05/01/2008
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