Provider Demographics
NPI:1609800101
Name:MESSER, DAWN H (OD)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:H
Last Name:MESSER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 N ALVERNON WAY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-1824
Mailing Address - Country:US
Mailing Address - Phone:520-322-3800
Mailing Address - Fax:
Practice Address - Street 1:655 N ALVERNON WAY
Practice Address - Street 2:SUITE 108
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-1824
Practice Address - Country:US
Practice Address - Phone:520-322-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1032152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZU18444Medicare UPIN