Individual provider Active NPI

Jeremy Michael Ernstes, O.D.

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1306095716
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5790/T2704 Issued in OH
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

Updated by the provider on May 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1741DTKYMDOptometrist
5790/T2704OHMDOptometrist

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.

Verify at the official NPI Registry.