Mark S Dickinson Od Pc

LBN: Mark S Dickinson Od Pc
Mark S Dickinson Od Pc is an health care organization with primary practice located at 13190 Owens Way , Alpharetta GA 30004-7357. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Mark S Dickinson Od Pc can be contacted via phone (404) 402-7870, or through Dickinson, Mark S via phone (404) 218-4912.

Contact Information

Primary practice address
13190 Owens Way Alpharetta GA 30004-7357
Phone: (404) 402-7870
Fax: (770) 872-7463
Website:
Map and Directions
Authorized official contact:
Name: Dickinson, Mark S Doctor of Optometry (OD)
Phone: (404) 218-4912

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1046-T Georgia

Profile Details

NPI number 1871636399
LBN Legal business name Mark S Dickinson Od Pc
DBA Doing business as
Authorized official Dickinson, Mark S Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Dec 20th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871636399 NPPES
Georgia MEDICAID 000313046A
Georgia MEDICAID 000313046B

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