Dayton Optometric Center Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DAYTON OPTOMETRIC CENTER INC.

Practice address

813 Troy St.
Dayton, OH 45404-1852

Phone

(937) 228-2020

Fax

(937) 228-8769

NPI assigned

Jun 30, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Myron Gilbert, OD

Title

President, D.O.C. JNC

Phone

(937) 228-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dayton Optometric Center Inc.

  • Optometrist
  • Dayton, OH
  • NPI 1841460482

  O20090827000161

  Same enrollment

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heath Bradley Gilbert, O.D.

  • Optometrist
  • Dayton, OH
  • NPI 1114923844
  Medicare reassignment NPD
• Marc Randolph Gilbert, O.D.

  • Optometrist
  • Dayton, OH
  • NPI 1659377190
  Medicare reassignment NPD
• Kathleen Simms Rudolf, O. D.

  • Optometrist
  • Beavercreek, OH
  • NPI 1033349055
  Medicare reassignment NPD

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194722603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 TROY ST.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041852",
            "telephone_number": "937-228-2020",
            "fax_number": "937-228-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 TROY ST.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041852",
            "telephone_number": "937-228-2020",
            "fax_number": "937-228-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON OPTOMETRIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MYRON",
        "authorized_official_title_or_position": "PRESIDENT, D.O.C. JNC",
        "authorized_official_telephone_number": "937-228-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8733400",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayton Neurologic Associates LLC
• Dayton Newborn Care Specialists, Inc.
• Dayton Nursing & Rehabilitation Center LLC
• Dayton Occupational Consultants
• Dayton Occupational Medical Center LTD
• Dayton Optometric Center Inc.
• Dayton Orthopaedic Surgery & Sports Medicine Center
• Dayton Orthopedic Center, Inc
• Dayton Osteopathic Hospital (Kettering Health Dayton)
• Dayton Osteopathic Hospital (Kettering Health Washington Township Womens Care)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.