Active NPI
Dawn M Viramontes, OD
- Optometrist
- Oakdale, CA
National Provider Identifier
1750385787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10745T
- Practice address
- 805 W F St
Oakdale, CA 95361-3628 - Phone
- (209) 847-0936
- Fax
- (209) 847-9685
- NPI assigned
- Jun 8, 2005
- Last updated
- Oct 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10745T | CA | Primary |
Addresses
Primary practice location
805 W F St
Oakdale, CA 95361-3628
Mailing address
805 W F St
Oakdale, CA 95361-3628
Phone (209) 847-0936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500107450 | Medicaid | CA |
Other names 1
- Dawn M Dickerson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10745T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1750385787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 W F ST",
"city": "OAKDALE",
"state": "CA",
"postal_code": "953613628",
"telephone_number": "209-847-0936",
"fax_number": "209-847-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 W F ST",
"city": "OAKDALE",
"state": "CA",
"postal_code": "953613628",
"telephone_number": "209-847-0936",
"fax_number": "209-847-9685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRAMONTES",
"first_name": "DAWN",
"middle_name": "M",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-08",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10745T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500107450",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DAWN",
"last_name": "DICKERSON",
"middle_name": "M",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oakdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.