Dr. Dirk J Warner OD, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OH 4886 T 1751 Issued in OH

Legal business name

DR. DIRK J WARNER OD, INC.

Doing business as

Warner Eyecare

Practice address

760 S Sawburg Ave
Alliance, OH 44601-2767

Phone

(330) 821-4362

Fax

(330) 821-4348

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dirk J Warner, ODNPI 1558341768

Title

President

Phone

(330) 823-2934

Specialties & licenses 1

Addresses

Other names 1

• Warner Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Shoptikal LLC

  dba Shopko Optical 4014

  • Eyewear Supplier
  • Beaver Dam, WI
  • NPI 1154987576

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dirk Jason Warner, OD

  • Optometrist
  • Alliance, OH
  • NPI 1558341768
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1336397470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 S SAWBURG AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446012767",
            "telephone_number": "330-821-4362",
            "fax_number": "330-821-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 S SAWBURG AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446012767",
            "telephone_number": "330-821-4362",
            "fax_number": "330-821-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DIRK J WARNER OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "DIRK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-823-2934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH 4886 T 1751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warner Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel L Dolak, LPC
• Carrie Anne Donaldson
• Jordan Donges, PA-C
• Alyssa Marie Doss
• Dr L Stein & Assoc Inc
• Anna Sophia Drossos
• Anna Duffrin
• Patricia E Dumovic, CRNA
• Dva Renal Healthcare, Inc (Alliance Dialysis)
• Brenda Lee Eagan, LPN

• Optometrist in Alliance, OH
• Providers in Alliance, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.