Dawson, Thomas W

Dawson, Thomas W is an sole proprietor health care provider with primary practice located at 1124 North Suncoast Blvd , Crystal River FL 34429-5474. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Dawson, Thomas W can be contacted via phone (352) 795-3317.

Contact Information

Primary practice address
1124 North Suncoast Blvd Crystal River FL 34429-5474
Phone: (352) 795-3317
Fax: (352) 795-3011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPC977 Florida

Profile Details

NPI number 1548263171
LBN Legal business name Dawson, Thomas W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Mar 28th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548263171 NPPES
Florida MEDICAID 084385700

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