Dishman, O Keith
Dishman, O Keith is an sole proprietor health care provider with primary practice located at 4311 Oak Lawn Ave Ste.# C125, Dallas TX 75219-2315. 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. Dishman, O Keith can be contacted via phone (214) 521-0929.Contact Information
Primary practice address
4311 Oak Lawn Ave Ste.# C125
Dallas TX 75219-2315
Phone: (214) 521-0929
Fax: (214) 521-2502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | TX1940TG | Texas |
Profile Details
| NPI number | 1497835490 |
|---|---|
| LBN Legal business name | Dishman, O Keith |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jun 20th, 2012 - about 12 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 | 1497835490 | NPPES |
| Texas | MEDICAID | 093189102 |
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