Active NPI
Donald Ray Murphy, O.D.
- Optometrist
- Fairlawn, OH
National Provider Identifier
1063490951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3040-007
- Practice address
- 96 Shiawassee Ave
Fairlawn, OH 44333-3732 - Phone
- (330) 867-2525
- Fax
- (330) 867-2049
- NPI assigned
- Jan 3, 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 | 3040-007 | OH | Primary |
Addresses
Primary practice location
96 Shiawassee Ave
Fairlawn, OH 44333-3732
Mailing address
96 Shiawassee Ave
Fairlawn, OH 44333-3732
Phone (330) 867-2525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0226991 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3040-007 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1063490951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 SHIAWASSEE AVE",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333732",
"telephone_number": "330-867-2525",
"fax_number": "330-867-2049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 SHIAWASSEE AVE",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333732",
"telephone_number": "330-867-2525",
"fax_number": "330-867-2049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "DONALD",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3040-007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0226991",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.