Active NPI
David Alan Muratori, O.D.
- Optometrist
- Wooster, OH
National Provider Identifier
1013920552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3557/T570
- Practice address
- 3853 Burbank Rd
Wooster, OH 44691-7215 - Phone
- (330) 345-0957
- Fax
- (330) 345-0960
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3557/T570 | OH | Primary |
Addresses
Primary practice location
3853 Burbank Rd
Wooster, OH 44691-7215
Mailing address
PO Box 1074
471 Memory Lane
Wooster, OH 44691-7074
Phone (216) 496-5216
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070111000074 | OH | Practitioner - Optometry | 5496755795 | Practice locations: Ashland, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3557/T570 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cole Vision Corporation | Past | Accepting new patients |
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.
-
- Optician
- Rocky River, OH
- NPI 1932206661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013920552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1074",
"address_2": "471 MEMORY LANE",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917074",
"telephone_number": "216-496-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3853 BURBANK RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917215",
"telephone_number": "330-345-0957",
"fax_number": "330-345-0960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURATORI",
"first_name": "DAVID",
"middle_name": "ALAN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3557/T570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.