M. Alan Dickens, MD, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

9500885 Issued in NC

Legal business name

M. ALAN DICKENS, MD, PC

Practice address

2709 Blue Ridge Rd
Suite 100
Raleigh, NC 27607-6462

Phone

(919) 782-5400

Fax

(919) 782-1680

NPI assigned

Nov 10, 2006

Last updated

Oct 11, 2007By 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

Dr. M Alan Dickens, MD

Title

President

Phone

(919) 782-5400

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1356412621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 BLUE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076462",
            "telephone_number": "919-782-5400",
            "fax_number": "919-782-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 BLUE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076462",
            "telephone_number": "919-782-5400",
            "fax_number": "919-782-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. ALAN DICKENS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-782-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "9500885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180025921",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "28509",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8928509",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marquita Pleshette Lyons, CPNP
• Matthew Delfino Lyons, MD
• Lisa Marie Lysik, OTR/L
• Patricia Ruth Lytwyn, LCMHC
• LZ Care LLC (A Better Solution In Home Care)
• M. Avey & Associates NC PC VIII (Rolling Ridge Dentistry)
• M. Hope Rollins, LCSW, PLLC
• Merry Ma
• Megan Maar, DO
• Justine Maas, LCAS, CSI

• Ophthalmology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.