Richard P Dychala, O.D.
Individual provider Active NPI Optometrist · Baltimore, OH
NPI 1376516013 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1376516013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3227P1305 (OH)
- Practice address
- 107 1/2 S Main St
Baltimore, OH 43105-1425 - Phone
- (740) 862-8480
- Fax
- (740) 862-2413
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3227P1305 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield Healthcare Professionals, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3227P1305 | OH | Yes |
Addresses
Primary practice location
107 1/2 S Main St
Baltimore, OH 43105-1425
Mailing address
3390 Blacklick Eastern Rd NW
Baltimore, OH 43105-9639
Phone (740) 862-6257
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0311013 | Medicaid | OH |
Other providers in Baltimore, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.