Individual provider Active NPI

Aaron C Lahman, OD

  • Optometrist
  • Dover, OH
National Provider Identifier
1225036940
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH 4854/ T 1719 Issued in OH
Practice address
658 Boulevard St
Dover, OH 44622-2027
Phone
(330) 364-5024
Fax
(330) 364-2729
NPI assigned
Jul 7, 2005
Reactivated
Mar 24, 2006
Last updated
Apr 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OH 4854/ T 1719 OH Primary

Addresses

Primary practice location

658 Boulevard St
Dover, OH 44622-2027

Mailing address

658 Boulevard St
Dover, OH 44622-2027
Phone (330) 364-5024

Other identifiers 1

IdentifierTypeStateIssuer
2026711MedicaidOH

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
I20040527000883 OH Practitioner - Optometry 5193706836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

658 Boulevard St
Dover, OH 44622-2027
Phone (330) 364-5024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OH 4854/ T 1719OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron C. Lahman, OD, LTD Optometrist CurrentSince Jul 31, 1998 Accepting new patients

Locations

658 Boulevard St
Dover, OH 44622
Phone (330) 343-3213

Organizations & group practices 1

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1225036940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 BOULEVARD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222027",
            "telephone_number": "330-364-5024",
            "fax_number": "330-364-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 BOULEVARD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222027",
            "telephone_number": "330-364-5024",
            "fax_number": "330-364-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHMAN",
        "first_name": "AARON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-04-01",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH 4854/ T 1719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026711",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

Verify at the official NPI Registry.