Individual provider Active NPI

Daniel C Drought, O.D.

  • Optometrist
  • Geneva, OH
National Provider Identifier
1255474482
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4017/T415 Issued in OH
Practice address
895 S Broadway
Geneva, OH 44041-9146
Phone
(440) 466-4661
Fax
(440) 466-3363
NPI assigned
Feb 15, 2007
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4017/T415 OH Primary
Corneal and Contact Management Optometrist 152WC0802X 4017/T415 OH
Low Vision Rehabilitation Optometrist 152WL0500X 4017/T415 OH
Occupational Vision Optometrist 152WX0102X 4017 T415 OH

Addresses

Primary practice location

895 S Broadway
Geneva, OH 44041-9146

Mailing address

PO Box 389
Geneva, OH 44041-0389
Phone (440) 466-4661

Other identifiers 16

IdentifierTypeStateIssuer
34 1776888OtherOHPRINCIPAL
34 1776888OtherOHAARP
34 1776888OtherOHCARPENTERS
34 1776888OtherOHHM BENEFITS
57052OtherOHWORKERS COMPENSATIONS
000000138384OtherOHBLUE CROSS BLUE SHIELD
34 1776888OtherOHSTATE FARM
34 1776888OtherOHPYRAMID
34 1776888OtherOHMUTUAL OF OMAHA
34 1776888OtherOHBRICKLAYERS
34 1776888OtherOHHEALTH DESIGN PLUS
341776888001OtherOHMEDICAL MUTUAL
2377231OtherOHAETNA
34 1776888OtherOHCIGNA
34 1776888OtherOHUNITED FOOD
34 1776888OtherOHCENTRAL BENEFITS

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
I20101007001432 OH Practitioner - Optometry 3971716283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Vision Centers LLCGroup PAC ID 7012308489, 3 clinicians

Practice addresses (Care Compare)

895 S Broadway
Geneva, OH 44041-9146
Phone (440) 466-4661

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4017/T415OHMDCorneal and Contact Management Optometrist
4017 T415OHMDOccupational Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
My Vision Centers LLC Optometrist CurrentSince Jun 29, 2024 Accepting new patients
My Vision Centers LLC Optometrist CurrentSince Jun 29, 2024 Accepting new patients

Locations

1 Memory Ln
Ste 100
Garrettsville, OH 44231
Phone (330) 527-3937

895 S Broadway
Geneva, OH 44041
Phone (440) 466-4661

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, 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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1255474482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440410389",
            "telephone_number": "440-466-4661",
            "fax_number": "440-466-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 S BROADWAY",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440419146",
            "telephone_number": "440-466-4661",
            "fax_number": "440-466-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROUGHT",
        "first_name": "DANIEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4017/T415",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "4017/T415",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "OH",
            "license": "4017/T415",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "OH",
            "license": "4017 T415",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRINCIPAL",
            "identifier": "34 1776888",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARP",
            "identifier": "34 1776888",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARPENTERS",
            "identifier": "34 1776888",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HM BENEFITS",
            "identifier": "34 1776888",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATIONS",
            "identifier": "57052",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000138384",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE FARM",
            "identifier": "34 1776888",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PYRAMID",
            "identifier": "34 1776888",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUTUAL OF OMAHA",
            "identifier": "34 1776888",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICKLAYERS",
            "identifier": "34 1776888",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH DESIGN PLUS",
            "identifier": "34 1776888",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "341776888001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2377231",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "34 1776888",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED FOOD",
            "identifier": "34 1776888",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTRAL BENEFITS",
            "identifier": "34 1776888",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, OH

Sources for this page

Verify at the official NPI Registry.