Individual provider Active NPI

Darrell D Dye, O.D.

  • Optometrist
  • Columbus, OH
National Provider Identifier
1336303155
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5788 Issued in OH
Practice address
5180 E Main St
Suite F
Columbus, OH 43213-2436
Phone
(614) 866-9002
Fax
(614) 866-3581
NPI assigned
Jul 10, 2008
Last updated
Jul 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 5788 OH Primary

Addresses

Primary practice location

5180 E Main St
Suite F
Columbus, OH 43213-2436

Mailing address

5628 Cardin Blvd
Dublin, OH 43016-7394
Phone (614) 668-9696

Other names 1

  • Dr. Duke Dye Other name

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
I20090304000721 OH Practitioner - Optometry 7214093921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Eye Center LLCGroup PAC ID 1759638059, 3 clinicians

Practice addresses (Care Compare)

3434 Riverside Dr
Upper Arlington, OH 43221-1743
Phone (614) 273-0393

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5788OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Eye Center LLC Optometrist CurrentSince Apr 26, 2018 Accepting new patients
Ackerson Eyecare Center, Inc Optometrist PastSince Mar 31, 2022 Accepting new patients
Michael S Berk OD Inc Optometrist Past Accepting new patients
Industrial Fitness Past Accepting new patients
Michael S. Berk, O.D. Inc. Optometrist Past Accepting new patients

Locations

3434 Riverside Dr
Upper Arlington, OH 43221
Phone (614) 273-0393

Organizations & group practices 5

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1336303155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5628 CARDIN BLVD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167394",
            "telephone_number": "614-668-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 E MAIN ST",
            "address_2": "SUITE F",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132436",
            "telephone_number": "614-866-9002",
            "fax_number": "614-866-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYE",
        "first_name": "DARRELL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUKE",
            "last_name": "DYE",
            "prefix": "DR.",
            "credential": "O. D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.