Dustin J Dixon, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4781 Issued in FL

Practice address

4337 S Florida Ave
Lakeland, FL 33813-1654

Phone

(863) 619-2700

NPI assigned

Jan 23, 2013

Last updated

Oct 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vision First Florida LLC

  • Optometrist
  • Lakeland, FL
  • NPI 1265291140
  Medicare reassignment NPD Authorized official
• Eye Specialists of Mid Florida PA

  • Ophthalmology Physician
  • Winter Haven, FL
  • NPI 1366437162

  Optometrist

  Medicare reassignment NPD
• Eye Specialists of Mid Florida, PA

  • Health Service Clinic/Center
  • Auburndale, FL
  • NPI 1700370616
  NPD

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1245578491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804126",
            "telephone_number": "863-294-3504",
            "fax_number": "863-294-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131654",
            "telephone_number": "863-619-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 1st St N",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338814537",
            "country_code": "US",
            "telephone_number": "863-875-6568",
            "fax_number": "863-299-1061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "DUSTIN",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-23",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245578491",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Dittmer, DO
• Kathryn Divincenzo, DO
• Divine Chiropractic Health and Wellness PLLC
• Yasmin Divine, MD
• Charmethia Dixon
• John Christopher Dixon, LMHC
• Laura Dixon, APRN
• Dna Comprehensive Therapy Services, LLC
• Dna Comprehensive Therapy Services, LLC
• Nina Margaret Doane, MT-BC

• Optometrist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.