Active NPI
Dixon Optometric Center, Inc.
- Clinic/Center
- Dixon, IL
National Provider Identifier
1790981710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- DIXON OPTOMETRIC CENTER, INC.
- Practice address
- 511 Palmyra St
Dixon, IL 61021-1953 - Phone
- (815) 284-2020
- Fax
- (815) 284-8326
- NPI assigned
- Jun 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas A. Lawless, O.D.
- Title
- President
- Phone
- (815) 284-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | IL | Primary |
Addresses
Primary practice location
511 Palmyra St
Dixon, IL 61021-1953
Mailing address
511 Palmyra St
P O Box 344
Dixon, IL 61021-1953
Phone (815) 284-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144283821 | Other | IL | DR. LAWLESS NPI |
| 1790981710 | Other | IL | CORPORATE NPI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204502400000",
"number": "1790981710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 PALMYRA ST",
"address_2": "P O BOX 344",
"city": "DIXON",
"state": "IL",
"postal_code": "610211953",
"telephone_number": "815-284-2020",
"fax_number": "815-284-8326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 PALMYRA ST",
"city": "DIXON",
"state": "IL",
"postal_code": "610211953",
"telephone_number": "815-284-2020",
"fax_number": "815-284-8326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIXON OPTOMETRIC CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-26",
"last_updated": "2008-03-03",
"status": "A",
"authorized_official_last_name": "LAWLESS",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-284-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. LAWLESS NPI",
"identifier": "1144283821",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPORATE NPI",
"identifier": "1790981710",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dixon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.