Dickson Optical PC
NPI 1043477680ActiveOrganization· Optometrist· Dickson, TN
Optometrist in Dickson, Tennessee, registered in NPPES in May 2008. The authorized official on file is Rosie G. Bradford, Administrator. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1043477680 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2008 |
| Last updated in NPPES | Jun 23, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (TN); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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