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Contact Information

PATRICK DAWSON LLC
1674 N LIMESTONE ST
SPRINGFIELD, OH45503
 Phone: 937-399-4101
 Fax: 937-399-2346
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for PATRICK DAWSON LLC

NPI # 1164646329
LBN Legal business name PATRICK DAWSON LLC
Authorized official PATRICK DAWSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/12/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
OH License # 2961
OH License # 4550
OH License # 4831
OH Medicaid 029665
OH Medicaid 0995240
OH Medicaid 2260655
OH Medicaid 2478993
OH Other 2961 LICENSE
OH Other 4550 LICENSE
OH Other 4831 LICENSE
OH Other T1293 LICENSE
OH Other T1696 LICENSE
OH Other T617 LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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