Mark Dickey

Primary specialty

OpticianTaxonomy code 156FX1800X

License

064900 Issued in IA

Practice address

1441 Mall Dr Ste 400
Council Bluffs, IA 51503-4728

Phone

(712) 256-5515

Fax

(712) 256-8093

NPI assigned

Sep 25, 2026

Last updated

Sep 25, 2026By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Madoptical

  • Eyewear Supplier
  • Council Bluffs, IA
  • NPI 1992462188
  Authorized official Same address or phone

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1629981071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 MALL DR STE 400",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034728",
            "telephone_number": "712-256-5515",
            "fax_number": "712-256-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 MALL DR STE 400",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034728",
            "telephone_number": "712-256-5515",
            "fax_number": "712-256-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "IA",
            "license": "064900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Developmental Disability Center of Iowa LLC (Ddci)
• Patsy Devereaux
• Gary Devoss, M.D.
• Diagnostic & Int Med Assoc PC
• James Davin Dickerson, ARNP
• Avery Justine Dickinson, PT, DPT
• Mindy Jane Dickinson, O.D.
• Dirks Chiropractic Center PC
• Stanley Albert Dirks, M.S., D.C.
• Windy J Disalvo, LMSW, PLMHP (FOR NEB

• Optician in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Optician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.