Donald E Dickerson Md

LBN: Santa Monica Eye Medical Group
Donald E Dickerson Md is an health care organization with primary practice located at 1908 Santa Monica Blvd Suite 3, Santa Monica CA 90404-1927. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Santa Monica Eye Medical Group can be contacted via phone (310) 829-5475, or through Siegal, Sheila D via phone (310) 829-5475.

Contact Information

Primary practice address
1908 Santa Monica Blvd Suite 3 Santa Monica CA 90404-1927
Phone: (310) 829-5475
Fax: (310) 828-1359
Website:
Map and Directions
Authorized official contact:
Name: Siegal, Sheila D
Phone: (310) 829-5475

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G6556 California

Profile Details

NPI number 1881726198
LBN Legal business name Santa Monica Eye Medical Group
DBA Doing business as Donald E Dickerson Md
Authorized official Siegal, Sheila D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1881726198 NPPES
California MEDICAID ZZZ348612

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