Individual provider Active NPI

Paul Joseph Alton, O.D.

  • Optometrist
  • Lorain, OH
National Provider Identifier
1164401113
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3997 Issued in OH
Practice address
4650 Oberlin Ave
Lorain, OH 44053-3115
Phone
(440) 282-9800
Fax
(440) 282-1697
NPI assigned
Jan 10, 2006
Last updated
Feb 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3997 OH Primary

Addresses

Primary practice location

4650 Oberlin Ave
Lorain, OH 44053-3115

Mailing address

4650 Oberlin Ave
Lorain, OH 44053-3115
Phone (440) 282-9800

Other identifiers 1

IdentifierTypeStateIssuer
0821141MedicaidOH

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
I20110203000768 OH Practitioner - Optometry 9931213485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4650 Oberlin Ave
Lorain, OH 44053-3115
Phone (440) 282-9800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3997OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Paul J Alton OD Inc Optometrist CurrentSince Jul 16, 1997 Accepting new patients
Northern Ohio Eye Consultants Inc Past Accepting new patients

Locations

4650 Oberlin Ave
Lorain, OH 44053
Phone (440) 282-1600

Organizations & group practices 2

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1164401113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533115",
            "telephone_number": "440-282-9800",
            "fax_number": "440-282-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533115",
            "telephone_number": "440-282-9800",
            "fax_number": "440-282-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTON",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0821141",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.