DR. Jason Kenneth Dickerson, O.D.

NPI #1487646832 in Pelham, Alabama

Provider Information

NPI Number: 1487646832
Entity Type: Individual
Name: DR. Jason Kenneth Dickerson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 19, 2005
Last Updated: Jun 10, 2008

Practice Location

Address: 2617 HIGHWAY 31 S
City: Pelham
State: Alabama
ZIP Code: 35124-1322
Phone: (205) 664-1575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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