Thomas W Dawson OD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

OPC977 Issued in FL

Legal business name

THOMAS W DAWSON OD

Practice address

1124 N Suncoast Blvd
Crystal River, FL 34429-5474

Phone

(352) 795-3317

Fax

(352) 795-3011

NPI assigned

May 5, 2008

Last updated

May 5, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary F Dawson

Title

Office MGR

Phone

(352) 795-3317

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1003082561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344230730",
            "telephone_number": "352-795-3317",
            "fax_number": "352-795-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 N SUNCOAST BLVD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344295474",
            "telephone_number": "352-795-3317",
            "fax_number": "352-795-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W DAWSON OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "352-795-3317",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084385700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.