Individual provider Active NPI

Alicia W Tobe, O.D.

  • Optometrist
  • Coldwater, OH
National Provider Identifier
1013220433
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5984 Issued in OH
Practice address
201 S 2ND St
Coldwater, OH 45828-1747
Phone
(419) 678-3016
Fax
(419) 678-8849
NPI assigned
Jul 15, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickman Kettler and Bruner Inc 6 clinicians

Practice addresses (Care Compare)

201 S 2ND St
Coldwater, OH 45828-1747
Phone (419) 678-3016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101013000594 OH Practitioner - Optometry 5193917862 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Dickman Kettler & Bruner Inc Optometrist CurrentSince Aug 3, 2010 Accepting new patients

Locations

201 S 2nd St
Coldwater, OH 45828
Phone (419) 678-3016

5164 Childrens Home Rd
Greenville, OH 45331
Phone (937) 459-5095

250 Greenville Rd
Saint Marys, OH 45885
Phone (419) 394-5184

Networks

  • OH PPO
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6

Interoperability endpoints

  • Direct secure messaging: atobe@professionalfamilyeyecare.eyefinity-direct.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5984 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

201 S 2ND St
Coldwater, OH 45828-1747

Mailing address

201 S 2ND St
P O Box 95
Coldwater, OH 45828-1747
Phone (419) 678-3016

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3130552MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2014.

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1013220433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S 2ND ST",
            "address_2": "P O BOX 95",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281747",
            "telephone_number": "419-678-3016",
            "fax_number": "419-678-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 2ND ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281747",
            "telephone_number": "419-678-3016",
            "fax_number": "419-678-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBE",
        "first_name": "ALICIA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3130552",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, OH

Sources for this page

Verify at the official NPI Registry.