Dickson Optical PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DICKSON OPTICAL PC

Practice address

110 Mathis Dr
Suite 108
Dickson, TN 37055-2000

Phone

(615) 441-9996

Fax

(615) 441-3135

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Rosie G Bradford

Title

Administrator

Phone

(615) 446-8089

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcus H Daniel, OD

  • Optometrist
  • Dickson, TN
  • NPI 1497241186
  Medicare reassignment Care Compare group
• Belinda Patrick, O.D.

  • Optometrist
  • Dickson, TN
  • NPI 1255473070
  Medicare reassignment Care Compare group
• Janna Suzette Smith, OD

  • Optometrist
  • Dickson, TN
  • NPI 1083607279
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1043477680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MATHIS DR",
            "address_2": "SUITE 108",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552000",
            "telephone_number": "615-441-9996",
            "fax_number": "615-441-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MATHIS DR",
            "address_2": "SUITE 108",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552000",
            "telephone_number": "615-441-9996",
            "fax_number": "615-441-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKSON OPTICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-446-8089",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dickson Medical Equipment
• Dickson Medical Equipment Inc.
• Dickson Medical Equipment, Inc
• Dickson Medical Equipment, Inc.
• Dickson Operator LLC
• Dickson Orthopaedic and Sports Medicine PLLC
• Dickson Orthotics & Prosthetics
• Dickson Pain and Wellness PLLC
• Dickson Pediatric Dentistry PLLC
• Dickson Recovery Center, LLC

• Optometrist in Dickson, TN
• Providers in Dickson, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.