Audrey Simone Dawson is a Portage, Indiana based female Optometrist with 9 years of experience in Optometry. She completed her graduation from Other in 2015. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Audrey Simone Dawson is 18004139A for Optometry in Indiana. Audrey Simone Dawson 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. She 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. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Audrey Simone Dawson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
9+ years
Medical School Attended:
Other
Graduation Year:
2015
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
6050 Sterling Creek Rd, Portage, Indiana, 46368-7752
Phone:
219-763-8112
Fax:
219-764-5380
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0941544555
Enrollment ID:
I20181210001231
NPI Number:
1053889915
NPI Enumeration Date:
08 Nov, 2018
NPI Last Update On:
17 Aug, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Audrey Simone Dawson are as mentioned below.
License Number
Specialization
State
Status
18004139A
Optometry
Indiana
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Audrey Simone Dawson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Northshore Health Centers Inc (5799671236)
23
Other Medical Identifiers:
Other legacy medical identifiers associated with Audrey Simone Dawson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
191360037
Other
Indiana
MEDICARE PTAN
300021049
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1430, Portage, Indiana
Zip:
46368-9230
Phone Number:
219-763-8112
Fax Number:
219-764-5380
Patients can reach Audrey Simone Dawson at 6050 Sterling Creek Rd, Portage, Indiana or can call to book an appointment on 219-763-8112. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.