Individual
MINDY JANE DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
715 HARMONY STREET, SUITE 300, COUNCIL BLUFFS, IA 51503
(402) 552-2020
(402) 552-2367
Mailing address
4353 DODGE STREET, OMAHA, NE 68131-2709
(402) 552-2020
(402) 552-2367
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1238
NE
152W00000X
Optometrist
Primary
2321
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463646
—
IA
Enumeration date
11/16/2005
Last updated
04/11/2019
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