Provider Demographics
NPI:1366517179
Name:DOZON, FRANCISCO V JR (OD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:V
Last Name:DOZON
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6307 CENTER ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-3460
Mailing Address - Country:US
Mailing Address - Phone:402-932-1366
Mailing Address - Fax:
Practice Address - Street 1:6307 CENTER ST
Practice Address - Street 2:SUITE 202
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-3460
Practice Address - Country:US
Practice Address - Phone:402-932-1366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0795152W00000X
NE1276152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE06706OtherBCBS
VA1366517179Medicaid
IA6149650001OtherDMERC
IA6149650001OtherDMERC
NEP00794629Medicare PIN
NENA1410002Medicare PIN
NENA1412002Medicare PIN
NE06706OtherBCBS
IAP00657948Medicare PIN
P00822817Medicare PIN
VA1366517179Medicaid
NEP00618376Medicare PIN
IAI11066001Medicare PIN
NE098278001Medicare PIN