Provider Demographics
NPI:1265239339
Name:MVC VISION 01 PLLC
Entity type:Organization
Organization Name:MVC VISION 01 PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DREW
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-677-1114
Mailing Address - Street 1:16820 FRANCES ST STE 100
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2391
Mailing Address - Country:US
Mailing Address - Phone:402-933-7232
Mailing Address - Fax:402-933-7123
Practice Address - Street 1:6880 EP TRUE PKWY
Practice Address - Street 2:SUITE 110
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266
Practice Address - Country:US
Practice Address - Phone:402-933-7232
Practice Address - Fax:402-933-7123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty