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DONALD E DICKERSON MD NPI 1003923152


NPI Information

NPI: 1003923152
Provider Name: DONALD E DICKERSON, MD
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
1908 SANTA MONICA BLVD
SUITE 3
SANTA MONICA, CA
ZIP 90404
Phone: (310) 829-5475
Get Directions

Donald E Dickerson, MD is an ophthalmology in Santa Monica, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Donald E Dickerson, MD NPI is 1003923152. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1908 SANTA MONICA BLVD
SUITE 3
SANTA MONICA, CA
ZIP 90404
Phone: (310) 829-5475
Fax: (310) 828-1359

The enumeration date for this NPI number is 8/24/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyG6556CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A57558MEDICARE UPIN
2W897MEDICARE ID-TYPE UNSPECIFIED
3ZZZ348612MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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