Derek J Dawson
Ophthalmologist
8256 Hohman Ave
Munster
, Indiana 46321-1516
Derek J Dawson
Ophthalmologist
8256 Hohman Ave
Munster
, Indiana 46321-1516
(219) 836-0438
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Derek J Dawson
- 536 W 55th Ave
- Merrillville, IN
- Zip : 46410-2010
- Fax : (219) 836-0438
- Phone : (219) 836-2770
Second Address
- Derek J Dawson
- 8256 Hohman Ave
- Munster, IN
- Zip : 46321-1516
- Fax : (219) 836-0438
- Phone : (219) 836-2770
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 01033635A | IN |
National Provider Identifier
| NPI | 1013992411 |
|---|---|
| Provider Name | Derek J Dawson |
| First Address | Merrillville, IN 46410-2010 |
| Second Address | Munster, IN 46321-1516 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/12/2005 |
| Last Update Date | 06/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100215670 | (05) | IN |
| 756470 | (02) | IL |
| C25456 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.