Organization Active NPI

Dale H. Bricker, O.D., P.C.

  • Optometrist
  • The Dalles, OR
National Provider Identifier
1124365648
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2657ATI Issued in OR
Legal business name
DALE H. BRICKER, O.D., P.C.
Practice address
301 E 2ND St
The Dalles, OR 97058-2107
Phone
(541) 296-5878
Fax
(541) 296-3434
NPI assigned
Jan 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Authorized official

Name
Dr. Dale H Bricker, O.D.
Title
Owner
Phone
(541) 980-8925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2657ATI OR Primary

Addresses

Primary practice location

301 E 2ND St
The Dalles, OR 97058-2107

Mailing address

301 E 2ND St
The Dalles, OR 97058-2107
Phone (541) 296-5878

National Provider Directory

National Provider Directory

Locations

301 E 2nd St
The Dalles, OR 97058
Phone (541) 296-5878

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1124365648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 2ND ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582107",
            "telephone_number": "541-296-5878",
            "fax_number": "541-296-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 2ND ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582107",
            "telephone_number": "541-296-5878",
            "fax_number": "541-296-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE H. BRICKER, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "BRICKER",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-980-8925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2657ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.