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Contact Information

MINDY J DICKINSON, OD
715 HARMONY STREET
SUITE 300
COUNCIL BLUFFS, IA51503
 Phone: 402-552-2020
 Fax: 402-552-2367
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MINDY J DICKINSON · (Female)

NPI # 1629050604
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/16/2005
Last updated 04/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 2321
  • NE License # 1238
  • IA Medicaid 0463646
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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