Joseph B Studebaker, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3970 Issued in OH

Practice address

639 W National Rd
Englewood, OH 45322-1155

Phone

(937) 836-3041

Fax

(937) 836-1937

NPI assigned

Jun 9, 2005

Last updated

Sep 3, 2015By the provider in NPPES

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 1

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Aeg Ohio Professional PC

  • Optometrist
  • Solon, OH
  • NPI 1154980811
  Medicare reassignment Care Compare group NPD
• Northwest Optometry LLC

  • Optometrist
  • Englewood, OH
  • NPI 1316004187
  Authorized official Same address or phone
• Aeg Ohio Professional PC

  dba Harper's Point

  • Optometrist
  • Cincinnati, OH
  • NPI 1932708047
  NPD
• Dickman Kettler & Bruner Inc

  • Optometrist
  • Coldwater, OH
  • NPI 1558478453
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1124022090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 W NATIONAL RD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453221155",
            "telephone_number": "937-836-3041",
            "fax_number": "937-836-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 W NATIONAL RD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453221155",
            "telephone_number": "937-836-3041",
            "fax_number": "937-836-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDEBAKER",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2280008",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melaney Strain, PTA
• Trisha M Strayer, NP-C
• Julie Streck
• Elise Striebich, M.D.
• James D. Studebaker, OD
• Sunrise Carmel Assisted Living LLC (Sunrise of Carmel)
• Supreme Home Health Care
• Paul Robert Sutter
• Gregory Sutton
• Cynthia N Swafford, LISW

• Optometrist in Englewood, OH
• Providers in Englewood, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.

Verify at the official NPI Registry.