Individual provider Active NPI

Dale P Lindsey, O.D.

  • Corneal and Contact Management Optometrist
  • Cortland, OH
National Provider Identifier
1093719627
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3679T543 Issued in OH
Practice address
122 Fowler St
Cortland, OH 44410-1328
Phone
(330) 638-8599
Fax
(330) 638-8551
NPI assigned
Jun 10, 2005
Reactivated
Jun 23, 2006
Last updated
Mar 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 3679T543 OH Primary
Pediatric Optometrist 152WP0200X 3679T543 OH

Addresses

Primary practice location

122 Fowler St
Cortland, OH 44410-1328

Mailing address

122 Fowler St
Cortland, OH 44410-1328
Phone (330) 638-8599

Other identifiers 2

IdentifierTypeStateIssuer
1093719627OtherNPI
0573786MedicaidOH

Other names 1

  • Dr. Dale P Lindsey Professional name

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
I20040416000731 OH Practitioner - Optometry 1850386152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Ohio, LLCGroup PAC ID 7719211010, 72 clinicians

Practice addresses (Care Compare)

122 Fowler St
Cortland, OH 44410-1328
Phone (330) 638-8599

8254 Mayberry SQ N
Sylvania, OH 43560-9457
Phone (419) 885-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3679T543OHMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Dale P. Lindsey, O.D., Inc. CurrentSince Oct 1, 1987 Accepting new patients
Myeyedr Optometry of Ohio, LLC CurrentSince Jan 15, 2025 Accepting new patients
Myeyedr Optometry of Ohio, LLC CurrentSince Jan 15, 2025 Accepting new patients
Myeyedr Optometry of Ohio, LLC Corneal and Contact Management Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Past Accepting new patients

Locations

602 South St
Ste B-14
Chardon, OH 44024
Phone (440) 285-5007

122 Fowler St
Cortland, OH 44410
Phone (330) 638-8599

8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: dale.lindsey@direct.revolutionehr.com

Organizations & group practices 6

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1093719627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 FOWLER ST",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101328",
            "telephone_number": "330-638-8599",
            "fax_number": "330-638-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 FOWLER ST",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101328",
            "telephone_number": "330-638-8599",
            "fax_number": "330-638-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "DALE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2011-03-28",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "3679T543",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OH",
            "license": "3679T543",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093719627",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0573786",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DALE",
            "last_name": "LINDSEY",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "O.D., INC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cortland, OH

Sources for this page

Verify at the official NPI Registry.