David Depugh

Primary specialty

OptometristTaxonomy code 152W00000X

License

3664 Issued in OH

Legal business name

DAVID DEPUGH

Practice address

3955 Rhodes Ave
New Boston, OH 45662-4950

Phone

(740) 456-4143

Fax

(740) 456-6070

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David L Depugh, O.D.

Title

Owner

Phone

(740) 456-4143

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Boston Vision Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron Todd Kallner, O.D.

  • Optometrist
  • Portsmouth, OH
  • NPI 1225199607
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1063603876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 RHODES AVE",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456624950",
            "telephone_number": "740-456-4143",
            "fax_number": "740-456-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 RHODES AVE",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456624950",
            "telephone_number": "740-456-4143",
            "fax_number": "740-456-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID DEPUGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "DEPUGH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-456-4143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0459454",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Boston Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jodi L Cooper
• Lori Elizabeth Cooper, RN, BSN
• Michelle Cremeans, LPN
• Jordan Darlene Dailey, COTA/L
• David and Brenda Catering
• Melissa Kay Davis
• Melissa Michele Davis, MSN, FNP-C
• Jessica Lilliefaye Dingus
• Dpmgiaimoproh LLC
• Dpmnunanproh LLC

• Optometrist in New Boston, OH
• Providers in New Boston, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.