Dickinson, Mindy Jane
Dickinson, Mindy Jane is an individual health care provider with primary practice located at 715 Harmony Street Suite 300, Council Bluffs IA 51503. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Dickinson, Mindy Jane can be contacted via phone (402) 552-2020.Contact Information
Primary practice address
715 Harmony Street Suite 300
Council Bluffs IA 51503
Phone: (402) 552-2020
Fax: (402) 552-2367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1238 | Nebraska |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2321 | Iowa |
Profile Details
| NPI number | 1629050604 |
|---|---|
| LBN Legal business name | Dickinson, Mindy Jane |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Apr 11th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629050604 | NPPES |
| Iowa | MEDICAID | 0463646 |
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