Organization
EDGAR G. DICKEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR GREGG DICKEY (OD)
(618) 842-2655
Entity
Organization
Contact information
Practice address
102 W MAIN ST, FAIRFIELD, IL 62837-2502
(618) 842-2655
Mailing address
102 W MAIN ST, FAIRFIELD, IL 62837-2502
(618) 842-2655
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/08/2008
Last updated
11/19/2013
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