Individual provider Active NPI

Anthony J. Arnold, O.D.

  • Optometrist
  • Upper Sandusky, OH
National Provider Identifier
1083722755
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4263 T22 Issued in OH
Practice address
97 Houpt Dr
Suite C
Upper Sandusky, OH 43351-8904
Phone
(419) 294-3243
Fax
(419) 294-1372
NPI assigned
Aug 25, 2006
Last updated
Oct 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4263 T22 OH Primary

Addresses

Primary practice location

97 Houpt Dr
Suite C
Upper Sandusky, OH 43351-8904

Mailing address

97 Houpt Dr
Suite C
Upper Sandusky, OH 43351-8904
Phone (419) 294-3243

Other identifiers 1

IdentifierTypeStateIssuer
0828484MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012000555 OH Practitioner - Optometry 2466567672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony J Arnold O D LLCGroup PAC ID 6709027329, 2 clinicians

Practice addresses (Care Compare)

97 Houpt Dr
RM C
Upper Sandusky, OH 43351-8904
Phone (419) 294-3243

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4263OHMDChiropractor
4263 T22OHMDOptometrist

Interoperability endpoints

  • Direct secure messaging: anthony.arnold@direct.revolutionehr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1083722755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 HOUPT DR",
            "address_2": "SUITE C",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433518904",
            "telephone_number": "419-294-3243",
            "fax_number": "419-294-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 HOUPT DR",
            "address_2": "SUITE C",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433518904",
            "telephone_number": "419-294-3243",
            "fax_number": "419-294-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "ANTHONY",
        "middle_name": "J.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4263 T22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0828484",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Sandusky, OH

Sources for this page

Verify at the official NPI Registry.