Dr. Grace M Omalley Dickinson, MD
Ophthalmology in Southampton, NY. Individual provider (NPI-1).
NPI number1689640575
StatusActive
Last updated in NPPESDec 30, 2013
Details
- NPI
- 1689640575
- Entity type
- Individual (NPI-1)
- Name
- Dr. Grace M Omalley Dickinson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2006
- Last updated
- Dec 30, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPHTHALMOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 151395 | NY | Yes |
Practice location
186 Old Town RdSouthampton, NY 11968-5013
Phone 631-283-3533 · Fax 631-287-0571
Mailing address
260 E Middle Country RdSuite 201
Smithtown, NY 11787-2982
Phone 631-265-8780 · Fax 631-265-8521
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Other Ophthalmology Physician providers in Southampton, NY
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All 5 Ophthalmology Physician providers in Southampton · All 591 providers in Southampton
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