Edgar G. Dickey

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EDGAR G. DICKEY

Practice address

102 W Main St
Fairfield, IL 62837-2502

Phone

(618) 842-2655

NPI assigned

Feb 8, 2008

Last updated

Nov 19, 2013By 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

Edgar Gregg Dickey

Title

OD

Phone

(618) 842-2655

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1730367970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W MAIN ST",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628372502",
            "telephone_number": "618-842-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W MAIN ST",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628372502",
            "telephone_number": "618-842-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR G. DICKEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "DICKEY",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "GREGG",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "618-842-2655"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Fairfield, IL
• Providers in Fairfield, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.