Active NPI
Jeremy Michael Ernstes, O.D.
- Optometrist
- Cincinnati, OH
National Provider Identifier
1306095716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5790/T2704
- Practice address
- 7426 Beechmont Avenue Suite 209
Dr. David S. Tabeling & Associates
Cincinnati, OH 45255 - Phone
- (513) 232-2230
- Fax
- (513) 232-2245
- NPI assigned
- Sep 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1741DT | KY | |
| Optometrist | 152W00000X | 5790/T2704 | OH | Primary |
Addresses
Primary practice location
7426 Beechmont Avenue Suite 209
Dr. David S. Tabeling & Associates
Cincinnati, OH 45255
Mailing address
803 Eagle Lane
Apollo Beach, FL 33572
Phone (513) 232-2230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1741DT | KY | MD | Optometrist |
| 5790/T2704 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1306095716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 EAGLE LANE",
"city": "APOLLO BEACH",
"state": "FL",
"postal_code": "33572",
"telephone_number": "513-232-2230",
"fax_number": "513-232-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7426 BEECHMONT AVENUE SUITE 209",
"address_2": "DR. DAVID S. TABELING & ASSOCIATES",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45255",
"telephone_number": "513-232-2230",
"fax_number": "513-232-2245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERNSTES",
"first_name": "JEREMY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-10",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1741DT",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5790/T2704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.