Individual provider Active NPI

Larry E Tope, OD

  • Optometrist
  • Paulding, OH
National Provider Identifier
1265498554
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3575T683 Issued in OH
Practice address
701 W Wayne St
Paulding, OH 45879-1538
Phone
(419) 399-2255
Fax
(419) 399-9857
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3575T683 OH Primary

Addresses

Primary practice location

701 W Wayne St
Paulding, OH 45879-1538

Mailing address

701 W Wayne St
PO Box 252
Paulding, OH 45879
Phone (419) 399-2255

Other identifiers 1

IdentifierTypeStateIssuer
050560001OtherADMINISTAR SUPPLIER

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
I20120123000626 OH Practitioner - Optometry 9830388784 Practice locations: Pauling, OH

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

701 W Wayne St
Pauling, OH 45879-0252
Phone (419) 399-2255

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3575T683OHMDOptometrist

Interoperability endpoints

  • Direct secure messaging: drletope@directaddress.net

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1265498554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W WAYNE ST",
            "address_2": "PO BOX 252",
            "city": "PAULDING",
            "state": "OH",
            "postal_code": "45879",
            "telephone_number": "419-399-2255",
            "fax_number": "419-399-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W WAYNE ST",
            "city": "PAULDING",
            "state": "OH",
            "postal_code": "458791538",
            "telephone_number": "419-399-2255",
            "fax_number": "419-399-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOPE",
        "first_name": "LARRY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3575T683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR SUPPLIER",
            "identifier": "050560001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paulding, OH

Sources for this page

Verify at the official NPI Registry.