Dennis R Laub, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3075T937 Issued in OH

Practice address

107 S Walnut St
Woodville, OH 43469-1333

Phone

(419) 849-3811

Fax

(419) 849-3374

NPI assigned

Nov 7, 2006

Last updated

Dec 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Dennis R Laub Professional name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: dennis.laub@direct.revolutionehr.com

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.

• Kyle a. Brodie, O.D., Inc.

  • Optometrist
  • Woodville, OH
  • NPI 1679759229
  NPD (past)
• Optometric Management Group LLC

  dba Eye Care Professionals of Powell

  • Optometrist
  • Powell, OH
  • NPI 1265534093
  NPD (past)
• William Kegerize OD LLC

  dba Genoa Family Eyecare

  • Exclusive Provider Organization
  • Genoa, OH
  • NPI 1972834307
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1124197868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S WALNUT ST",
            "city": "WOODVILLE",
            "state": "OH",
            "postal_code": "434691333",
            "telephone_number": "419-849-3811",
            "fax_number": "419-849-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S WALNUT ST",
            "city": "WOODVILLE",
            "state": "OH",
            "postal_code": "434691333",
            "telephone_number": "419-849-3811",
            "fax_number": "419-849-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUB",
        "first_name": "DENNIS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3075T937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNIS",
            "last_name": "LAUB",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jonathan P Hegemier, PT
• Hannah Hodulik, RN
• Rebecca Jones
• Elizabeth Kramer
• Kyle a. Brodie, O.D., Inc.
• Jeanne Lynn Less, LPN
• Kathleen Lowery, RPH
• Elizabeth Ann Lucas
• Linda Meyer
• Nicole M Molina

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.