David H George, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3027 Issued in OH

Practice address

222 Jefferson St
Port Clinton
Port Clinton, OH 43452-1141

Phone

(419) 734-2106

Fax

(419) 734-3792

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• DRS. Ravin, Birndorf & Ravin, Inc.

  • Ophthalmology Physician
  • Toledo, OH
  • NPI 1316043110

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1114926334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 JEFFERSON ST",
            "address_2": "PORT CLINTON",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521141",
            "telephone_number": "419-734-2106",
            "fax_number": "419-734-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 JEFFERSON ST",
            "address_2": "PORT CLINTON",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521141",
            "telephone_number": "419-734-2106",
            "fax_number": "419-734-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT  HEALTHCARE",
            "identifier": "02487",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000510602",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257181",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Lee Fisher
• Heather Leann Flores, QMHS
• Kevin Michael Francis, D.C.
• Sharon Ester Fuller
• Sharon Kay Garber, RPH
• Emily Ann Gibson, MS, LPCC
• Giving Tree Inc.
• Glenn P Chapman II DC LLC
• Leah Renee Goodwin, BSW
• Janet Gray-Moore, P.T.

• Optometrist in Port Clinton, OH
• Providers in Port Clinton, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.