Individual
DR. GREGORY KENNETH DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
696 MEADOWBROOK DR, CULPEPER, VA 22701-3971
(540) 825-6161
(540) 825-9612
Mailing address
696 MEADOWBROOK DR, CULPEPER, VA 22701-3971
(540) 825-6161
(540) 825-9612
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000159
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618000159
BOARD OF OPTOMETRY
VA
Enumeration date
09/12/2006
Last updated
03/07/2023
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