Michelle Elizabeth Dawson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5652 Issued in OH

Practice address

57 Metric Drive
Tallmadge, OH 44278-2338

Phone

(330) 630-2580

Fax

(234) 542-1332

NPI assigned

Sep 7, 2006

Last updated

Jul 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tallmadge Family Eye Care LLCGroup PAC ID 1951550276, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Tallmadge Family Eye Care, LLC

  • Optometrist
  • Tallmadge, OH
  • NPI 1225392319
  Medicare reassignment Care Compare group NPD
• Mobile Medical, Inc.

  • Podiatrist
  • Perrysburg, OH
  • NPI 1003066747
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1063515864",
    "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": "MICHELLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2024-07-02",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2885856",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David K. Elliott, DPM.
• Deanna L Davis
• Maria Mekoe Davis
• Barbara E. Dawson, R.N.
• David J. Dawson, O.D.
• Sean Dawson, IMFT-S, LPC
• Joseph D Deppen
• Chris Derry, LISW-S
• Matthew Dexter, P.T.
• Jay A Dipaolo, LISW

• Optometrist in Tallmadge, OH
• Providers in Tallmadge, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.