Cathy L Dixon, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

LDO001648 Issued in GA

Practice address

1841 N Columbia St
Milledgeville, GA 31061-2382

Phone

(478) 452-3593

Fax

(478) 453-0016

NPI assigned

Dec 14, 2006

Sex

Female

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wolf Creek ENT LLC

  dba Cathy's Eye Care

  • Durable Medical Equipment & Medical Supplies
  • Milledgeville, GA
  • NPI 1700091980

  Optician

  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1710049168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 N COLUMBIA ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612382",
            "telephone_number": "478-452-3593",
            "fax_number": "478-453-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 N COLUMBIA ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612382",
            "telephone_number": "478-452-3593",
            "fax_number": "478-453-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "CATHY",
        "middle_name": "L",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO001648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "25391",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00897487A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS M'CAID",
            "identifier": "100921",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "07820",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Department of Behavioral Health and Developmental Disabilities (Central State Hospital Pharmacy)
• Department of Behavioral Health and Developmental Disabilities (Central State Hospital)
• Tarmesha Devereaux
• Dialysis Center of Milledgeville LLC
• Louis Joseph Dix Jr., PH.D.
• Marcia Dean Dixon, PMHNP
• Ekrem Dogan, MD
• Pamela D. Donovan, APRN, PMHCNS-BC
• Dorothy Sallis-Stewart MD, PC (J. I. L. Family Health Center)
• Ryan Andrew Dougherty, CPO

• Optician in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Optician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.