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Organization

OPTICAL INVESTMENT INC.

Active
Other names
Dickerson Eye Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STAN M. DICKERSON O.D. (PRESIDENT/OPTOMETRIST)
(931) 381-4911
Entity
Organization

Contact information

Practice address
840 HATCHER LN, COLUMBIA, TN 38401-3528
(931) 381-4911
(931) 381-0966
Mailing address
840 HATCHER LN, COLUMBIA, TN 38401-3528
(931) 381-4911
(931) 381-0966

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT612
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0696400001
DME#
TN
Enumeration date
05/09/2006
Last updated
12/17/2010
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