Organization · NPI-2
Dixophthal PC
Technician/Technologist, Ophthalmic · Albany, GA
NPI number1801956909
StatusActive
Last updated in NPPESMar 24, 2008
Details
- NPI
- 1801956909
- Entity type
- Organization (NPI-2)
- Legal business name
- Dixophthal PC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2006
- Last updated
- Mar 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1100X | Technician/Technologist, Ophthalmic | 040367 | GA | Yes |
Practice location
806 N Jefferson StAlbany, GA 31701-2363
Phone 229-439-7700 · Fax 229-439-7283
Mailing address
Po Box 71445Albany, GA 31708-1445
Phone 229-439-7700 · Fax 229-439-7283
Authorized official
El-Roy Dec Dixon
Owner
2294397700
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