David J. Dawson, O.D.
Individual provider Active NPI Optometrist · Tallmadge, OH
NPI 1023005170 · NPPES record last updated Jul 3, 2024
Key facts
- NPI
- 1023005170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4830/T1695 (OH)
- Practice address
- 57 Metric Drive
Tallmadge, OH 44278-2338 - Phone
- (330) 630-2580
- Fax
- (234) 542-1332
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Axess Family Services Inc
Tallmadge Family Eye Care LLC
Practice addresses (Care Compare)
1400 S Arlington St
Unit 38
Akron, OH 44306-3771
Phone (330) 724-5471
57 Metric Dr
Tallmadge, OH 44278-2338
Phone (330) 630-2580
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050509000489 | OH | Practitioner - Optometry | 0042250151 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4830/T1695 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axess Family Services Inc | Current |
Accepting new patients | |
| Axess Family Services Inc | Current | Accepting new patients | |
| Tallmadge Family Eye Care, LLC | Optometrist | Current |
Accepting new patients |
| Axess Family Services Inc | Current |
Accepting new patients | |
| Mobile Medical, Inc. | Past | Accepting new patients |
Locations
527 W Market St
Akron, OH 44303
Phone (330) 510-4747
1400 S Arlington St
Unit 38
Akron, OH 44306
Phone (330) 724-5471
390 Robinson Ave
Ste E
Barberton, OH 44203
Phone (330) 564-2697
57 Metric Dr
Tallmadge, OH 44278
Phone (330) 630-2580
137 East Ave
Ste 100
Tallmadge, OH 44278
Phone (330) 630-2580
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4830/T1695 | OH | Yes |
Addresses
Primary practice location
57 Metric Drive
Tallmadge, OH 44278-2338
Mailing address
57 Metric Drive
Tallmadge, OH 44278-2338
Phone (330) 630-2580
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2885847 | Medicaid | OH |
NPI Registry JSON
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1023005170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 METRIC DRIVE",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "442782338",
"telephone_number": "330-630-2580",
"fax_number": "234-542-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 METRIC DRIVE",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "442782338",
"telephone_number": "330-630-2580",
"fax_number": "234-542-1332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "DAVID",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2024-07-03",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4830/T1695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2885847",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallmadge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.