MINDY JANE DICKINSON (NPI# 1629050604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629050604 |
| Entity Type | Individual |
| Full Name | MINDY JANE DICKINSON |
| Other Name | MINDY JANE GORDON |
| Credential | O.D. |
| Practice Address |
715 Harmony Street Suite 300 Council Bluffs IA 51503 |
| Mailing Address |
4353 Dodge Street Omaha NE 68131-2709 |
| Practice Telephone | 4025522020 |
| Practice Fax Number | 4025522367 |
| Mailing Telephone | 4025522020 |
| Mailing Fax Number | 4025522367 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 1238 | NE | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 2321 | IA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0463646 | 05 |
| Street Address |
715 HARMONY STREET SUITE 300 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962844316 | Robyn Epley | Optometrist | 1505 W Broadway Ste 3-5, Council Bluffs, IA 51501-3966 | 2013-07-26 |
| 1487969002 | Matthew Taylor | Optometrist | 928 Valley View Dr, Ste 17, Council Bluffs, IA 51503-5288 | 2010-08-09 |
| 1831377084 | Vision Specialists of Council Bluffs LLC | Optometrist | 2514 W Broadway, Council Bluffs, IA 51501-3509 | 2008-02-08 |
| 1245393917 | Nancy Katherine Rhodes | Optometrist | America's Best, 3701 Metro Dr #400, Council Bluffs, IA 51501 | 2006-12-17 |
| 1285700534 | Tina N Kastler, Od PC | Optometrist | 1751 Madison Ave Ste 200, Council Bluffs, IA 51503-5267 | 2006-11-28 |
| 1063450930 | Pat M Bartels | Optometrist | 1920 Rue St, Council Bluffs, IA 51503-3601 | 2006-06-03 |
| 1881657617 | Barry James Jose | Optometrist | 1601 Ave D, Council Bluffs, IA 51501 | 2006-04-11 |
| 1376535187 | Tina Kastler | Optometrist | 1751 Madison Ave, Suite 200, Council Bluffs, IA 51503-5246 | 2005-08-17 |
| 1992228399 | Leah J Stevens | Optometrist | 1601 Avenue D, Council Bluffs, IA 51501-2510 | 2017-07-18 |
| 1144657354 | Vision Care Clinic, P.C. | Optometrist | 130 W Broadway, Council Bluffs, IA 51503-4332 | 2013-10-02 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on MINDY JANE DICKINSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.