Edgar G. Dickey

NPI #1730367970 in Fairfield, Illinois

Provider Information

NPI Number: 1730367970
Entity Type: Organization
Organization Name: Edgar G. Dickey
Primary Specialty: Optometrist
Enumeration Date: Feb 8, 2008
Last Updated: Nov 19, 2013

Practice Location

Address: 102 W MAIN ST
City: Fairfield
State: Illinois
ZIP Code: 62837-2502
Phone: (618) 842-2655

Authorized Official

Name: EDGAR GREGG DICKEY
Title: OD
Phone: (618) 842-2655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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