Adam Richard Dutson (NPI# 1942638697, PAC ID# 6204054992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1942638697 |
| PAC ID by PECOS | 6204054992 |
| Professional Enrollment ID | I20140821000640 |
| Full Name | Adam Richard Dutson |
| Organization Legal Name | FORT MILL OPTICAL INC |
| Address |
1090 Spratt St Fort Mill SC 29716-8226 |
| Phone Number | 8035475547 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 2013 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8628084696 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1090 Spratt St, Fort Mill, SC 29716-8226 | 8035475547 | FORT MILL OPTICAL INC |
| Organization Legal Name | FORT MILL OPTICAL INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allyson Elizabeth Thomas | Optometry | Fort Mill Optical Inc | 1090 Spratt St, Fort Mill, SC 29716-8226 |
| Deborah Long | Optometry | Fort Mill Optical Inc | 1090 Spratt St, Fort Mill, SC 29716-8226 |
| Street Address |
1090 SPRATT ST |
| City | FORT MILL |
| State | SC |
| Zip | 29716-8226 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allyson Elizabeth Thomas | Optometry | Fort Mill Optical Inc | 1090 Spratt St, Fort Mill, SC 29716-8226 |
| Deborah Long | Optometry | Fort Mill Optical Inc | 1090 Spratt St, Fort Mill, SC 29716-8226 |
| City | FORT MILL |
| Zip Code | 29716 |
| Specialty | OPTOMETRY |
| City + Specialty | FORT MILL + OPTOMETRY |
Please comment or provide details below to improve the information on Adam Richard Dutson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.