Provider Demographics
NPI:1528547031
Name:DICKSON, ALLISON PAGE (OD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:PAGE
Last Name:DICKSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:PAGE
Other - Last Name:WEBSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1911 N MILLS AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-1407
Mailing Address - Country:US
Mailing Address - Phone:727-266-2393
Mailing Address - Fax:727-266-2330
Practice Address - Street 1:601 S BELCHER RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-6301
Practice Address - Country:US
Practice Address - Phone:727-266-2393
Practice Address - Fax:727-266-2330
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5771152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist