Individual provider Active NPI

Dennis E Dombrowski, OD

  • Optometrist
  • Lancaster, PA
National Provider Identifier
1174557094
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000467 Issued in PA
Practice address
816 Estelle Dr
Lancaster, PA 17601-2135
Phone
(717) 898-8878
Fax
(717) 898-4679
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000467 PA Primary
Corneal and Contact Management Optometrist 152WC0802X 0EG000467 PA
Pediatric Optometrist 152WP0200X OEG000467 PA
Sports Vision Optometrist 152WS0006X OEG000467 PA
Occupational Vision Optometrist 152WX0102X OEGOOO467 PA

Addresses

Primary practice location

816 Estelle Dr
Lancaster, PA 17601-2135

Mailing address

816 Estelle Dr
Lancaster, PA 17601-2135
Phone (717) 898-8878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101111001289 PA Practitioner - Optometry 4981663192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

816 Estelle Dr
Lancaster, PA 17601-2135
Phone (717) 898-8878

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0EG000467PAMDCorneal and Contact Management Optometrist
OEG000467PAMDSports Vision Optometrist
OEGOOO467PAMDOccupational Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Mar 27, 2024 Accepting new patients
Dombrowski Eye Associates Optometrist CurrentSince Mar 15, 1990 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist Past Accepting new patients

Locations

93 W Devon Dr
Ste 101
Exton, PA 19341
Phone (610) 363-8960

816 Estelle Dr
Lancaster, PA 17601
Phone (717) 898-8878

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1174557094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 ESTELLE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012135",
            "telephone_number": "717-898-8878",
            "fax_number": "717-898-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 ESTELLE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012135",
            "telephone_number": "717-898-8878",
            "fax_number": "717-898-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBROWSKI",
        "first_name": "DENNIS",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000467",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "0EG000467",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "PA",
            "license": "OEG000467",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "PA",
            "license": "OEG000467",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "PA",
            "license": "OEGOOO467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.