Organization Active NPI

Dixon Optometric Center, Inc.

  • Clinic/Center
  • Dixon, IL
National Provider Identifier
1790981710
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Mar 3, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1144283821OtherILDR. LAWLESS NPI
1790981710OtherILCORPORATE NPI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.