Individual
AMBER NICOLE DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-4757
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10069
TX
152W00000X
Optometrist
Primary
OPT.007014
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0464016
—
OH
Enumeration date
07/09/2020
Last updated
10/10/2023
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