DR. DAVID JUDSON DEXTER (NPI# 1265524417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265524417 |
| Entity Type | Individual |
| Full Name | DR. DAVID JUDSON DEXTER |
| Credential | OD |
| Practice Address |
120 E 1st St Ste 1 Oswego NY 13126-2045 |
| Mailing Address |
120 E 1st St Ste 1 Oswego NY 13126-2114 |
| Practice Telephone | 3153432020 |
| Practice Fax Number | 3152072001 |
| Mailing Telephone | 3153432020 |
| Mailing Fax Number | 3152072001 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2019-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3632 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00578881 | 05 | |
| NY | PALMETTO GBA-RR MC | 580001049 | 01 |
| NY | PALMETTO GBA-RR MC | 410047858 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649306853 | David J. Dexter II | Surgery | 600 Gresham Dr, Suite 8620, Norfolk, VA 23507-1904 | 2007-02-24 |
| 1811938434 | David G Dexter | Internal Medicine | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2006-06-08 |
| 1770585655 | David William Dexter | Surgery | 300 State St Fl 4, Erie, PA 16507-1427 | 2005-08-11 |
| Street Address |
120 E 1ST ST STE 1 |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205990157 | David J. Dexter, O.d., P.C. | Optometrist | 120 E 1st St Ste 1, Oswego, NY 13126-2114 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| 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 |
|---|---|---|---|---|
| 1396123386 | Avjit Shahi | Optometrist | 83 Templeton Dr Ste F, Oswego, IL 60543-7025 | 2015-05-11 |
| 1033474317 | Dr Ryan Le and Associates LLC | Optometrist | 2300 Us Highway 34, Oswego, IL 60543-7132 | 2012-07-11 |
| 1891094488 | Edgar Ufuoma Ekure | Optometrist | 140b State Route 104, Oswego Plaza, Oswego, NY 13126 | 2011-03-22 |
| 1609948975 | Steve Gustafson | Optometrist | 1140 Douglas Rd, Oswego, IL 60543-9040 | 2006-11-14 |
| 1326140336 | Jacob B List | Optometrist | 140 State Route 104, Oswego Plaza Empire Vision Centers, Oswego, NY 13126 | 2006-09-01 |
| 1053428979 | Lori A Youngman | Optometrist | 147 W 1st St, Oswego, NY 13126-2045 | 2006-08-24 |
| 1740203850 | Oswego Vision, Ltd | Optometrist | 83 Templeton Dr, Suite F, Oswego, IL 60543-7019 | 2006-07-26 |
| 1932160785 | Empire Vision Center Inc | Optometrist | 140 Route 104, Oswego Plaza, Oswego, NY 13126-5649 | 2006-03-31 |
| 1629047840 | Daniel G. Pisacano | Optometrist | 341 State Route 104, Vision Center, Oswego, NY 13126-2911 | 2006-03-17 |
| 1639169998 | Ronald S. Weingart | Optometrist | 2075 Wiesbrook Drive, Oswego, IL 60543-8312 | 2005-10-26 |
| Find all providers in OSWEGO | ||||
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| 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.