DIXOPHTHAL PC NPI 1801956909

NPI Information

NPI: 1801956909
Provider Name: DIXOPHTHAL PC
Classification: Technician/Technologist - 156FX1100X
Entity Type: Organization

Specialization: Ophthalmic

CLIA Number: 11D2082387

Address:
806 N JEFFERSON ST
ALBANY, GA
ZIP 31701
Phone: (229) 439-7700
Get Directions

DIXOPHTHAL PC is an ophthalmic technician technologist in Albany, GA. The provider is an ophthalmic technician/technologist assists ophthalmologists by performing ophthalmic clinical functions, including administering eye exams, administering eye medications, and instructing the patient in care and use of corrective lenses. DIXOPHTHAL PC NPI is 1801956909. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

806 N JEFFERSON ST
ALBANY, GA
ZIP 31701-363
Phone: (229) 439-7700
Fax: (229) 439-7283

The provider's authorized official is El-roy Dec Dixon .
The authorized official title is Owner and has the following contact phone number (229) 439-7700.

The CLIA number assigned to this NPI record is 11D2082387 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 3/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1100X	Technician/Technologist	Ophthalmic	040367	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	000656719H	MEDICAID	GEORGIA
2	G05386	MEDICARE UPIN	GEORGIA
3	18BDFLN01	MEDICARE PIN	GEORGIA
4	1240870001	MEDICARE NSC	GEORGIA
5	000656719J	MEDICAID	GEORGIA
6	18BDFLN	MEDICARE PIN	GEORGIA
7	000656719I	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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