Maria Shields Dickerson in Whitmire - Optometrist
Maria Shields Dickerson - NPI 1457304560
Maria Shields Dickerson is a Optometrist in Whitmire, South Carolina. Maria Shields Dickerson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Maria Shields Dickerson is 1457304560. The last update date is 2007-07-08.
Maria Shields Dickerson's current location address is 104 Odell St, Whitmire, South Carolina. You can contact this provider via phone number 8036944724. The mailing address for Maria Shields Dickerson is 104 Odell St, Whitmire, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maria Shields Dickerson |
|---|---|
| Address | 104 Odell St, Whitmire, South Carolina |
| Phone Number | 8036944724 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1457304560 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 104 Odell St |
|---|---|
| City | Whitmire |
| State | South Carolina (SC) |
| Post Code | 291781117 |
| Phone Number | 8036944724 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1336 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D13368 | SC | -- |
Post Comment/ Review Below
What is the Maria Shields Dickerson's unique identification number?
The Maria Shields Dickerson has been assigned the NPI (National Provider Identifier) Number 1457304560 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Maria Shields Dickerson's facilities are geographically located?
The facilities of Maria Shields Dickerson are physically situated at the following location: 104 Odell St, Whitmire, SC, 291781117.
What is the Maria Shields Dickerson's specialty and taxonomy code?
The Maria Shields Dickerson's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Maria Shields Dickerson receive the assignment of its 1457304560 from the Centers for Medicare & Medicaid Services?
The Maria Shields Dickerson was issued its 1457304560 by the Centers for Medicare & Medicaid Services on 2006-05-18.
When was the information related to Maria Shields Dickerson most recently updated or refreshed?
The details pertaining to the Maria Shields Dickerson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.