Optical Investment Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT612 Issued in TN

Legal business name

OPTICAL INVESTMENT INC.

Doing business as

Dickerson Eye Care Center

Practice address

840 Hatcher LN
Columbia, TN 38401-3528

Phone

(931) 381-4911

Fax

(931) 381-0966

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stan M. Dickerson, O.D.

Title

President/Optometrist

Phone

(931) 381-4911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dickerson Eye Care Center Doing business as

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1619926359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013528",
            "telephone_number": "931-381-4911",
            "fax_number": "931-381-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013528",
            "telephone_number": "931-381-4911",
            "fax_number": "931-381-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL INVESTMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "STAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "931-381-4911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME#",
            "identifier": "0696400001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dickerson Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Makayla Ogilvie, RN
• Candice Turner Olechowski, M.D.
• Cody Oliver
• Jessica Fisher Oliver, FNP
• John R Olson, MD
• Osborne Hearing Systems (Miracle Ear)
• Angelia Carol Osborne
• Sydney E Osborne
• Bushra Zafar Osmani, M.D.
• Katrina Danelle Otey, BA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.