Active NPI
Dale P Lindsey, O.D.
- Corneal and Contact Management Optometrist
- Cortland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 3679T543
- 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, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093719627 | Other | NPI | |
| 0573786 | Medicaid | OH |
Other names 1
- Dr. Dale P Lindsey
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3679T543 | OH | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Dale P. Lindsey, O.D., Inc. | Current | Accepting new patients | |
| Myeyedr Optometry of Ohio, LLC | Current | Accepting new patients | |
| Myeyedr Optometry of Ohio, LLC | Current | 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
- 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.
-
dba MyEyeDr.
- Optometrist
- Dayton, OH
- NPI 1902365448
Corneal and Contact Management
-
- Optometrist
- Cortland, OH
- NPI 1295082220
-
- Eyewear Supplier
- Cortland, OH
- NPI 1255623872
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.