J. Mathis Dixon, OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 001187 Issued in GA

Legal business name

J. MATHIS DIXON, OD, PC

Practice address

1105 Morningside Dr
Perry, GA 31069-2905

Phone

(478) 987-5500

Fax

(478) 988-4628

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

J. Mathis Dixon, OD

Title

Owner

Phone

(478) 987-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Eyecare Center Doing business as

Locations

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1174535108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MORNINGSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692905",
            "telephone_number": "478-987-5500",
            "fax_number": "478-988-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MORNINGSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692905",
            "telephone_number": "478-987-5500",
            "fax_number": "478-988-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MATHIS DIXON, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "MATHIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-987-5500",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT 001187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "202I415642",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily H Hulbert, M.A. CCC SLP
• Idsa, LLC
• Giana Uchenna Igwike, NP
• Independent Physical Therapy of Ga, LLC
• Inspire Psychological Services LLC
• Sashya Ylaine Jefferson, LPN
• Sari Jensen, DMD
• Jared Johnson
• Michael Caroline Johnson, LMSW
• Sandra N. Johnson, PHARMD

• Optometrist in Perry, GA
• Providers in Perry, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.