Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DALLAS DUSTIN FITZGERALD, O.D.

Active Sole Proprietor

DR. DALLAS DUSTIN FITZGERALD, O.D. is a Optometrist healthcare provider located in MARYVILLE, Missouri. NPI 1396716619 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MARYVILLE, MO

Registration Details

NPI Number: 1396716619
Provider Type: Individual
Gender: Male
NPI Issued: Jan 27, 2006 (20.530882813817 yrs)
Last Updated: May 28, 2008
License: T03343 (MO)
Sole Proprietor: Yes

Practice Information

Address: 1605 S MAIN ST

WAL-MART VISION CENTER

MARYVILLE, MO, 644682611
Browse MO providers · Browse ZIP 64468
Phone: 6605620215
Fax: 6605620217
Primary Specialty: Optometrist
152W00000X

Other Optometrist Providers in MARYVILLE, MO

Name	Credential	NPI
DR. JEFFREY HAIDON POWELL	OD	1679543995
DR. KAREN M GORMAN	O.D.	1598709115
DR. PAUL RICHARD POYNTER	O. D.	1013096452
DR. HAROLD LEE POYNTER III	O. D.	1205961539
DR. RYAN K LOSH	O.D.	1821309600
DR. LESLIE ALITZ WITTMANN	OD	1275062739

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.