Philip J. Dickey, O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PHILIP J. DICKEY, O.D., INC.

Practice address

8879 Brecksville Rd
Brecksville, OH 44141-1921

Phone

(440) 526-3920

NPI assigned

Oct 12, 2023

Organization subpart

No

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

Authorized official

Name

Philip DickeyNPI 1457796310

Title

President

Phone

(330) 697-3701

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

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

• Philip James Dickey, O.D.

  • Optometrist
  • Canton, OH
  • NPI 1457796310
  Medicare reassignment NPD Authorized official
• Alicia G Manenti, O.D.

  • Optometrist
  • Brecksville, OH
  • NPI 1558430397
  NPD
• Joseph A Ravagnani, O.D.

  • Optometrist
  • Brecksville, OH
  • NPI 1306915178
  NPD

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1407637549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SALT CREEK RUN",
            "city": "PENINSULA",
            "state": "OH",
            "postal_code": "442649463",
            "telephone_number": "330-697-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8879 BRECKSVILLE RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411921",
            "telephone_number": "440-526-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP J. DICKEY, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "DICKEY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-697-3701"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla J. Penner, LPCC
• Alexandria Pete
• Michael William Petrasek, PSYCHOLOGIST
• Pharmacy Specialty Group, LLC
• Pharmacy Specialty Group, LLC (Pharmacy Specialty Group - LTC)
• Taryn Marie Phillips-Smith
• Physicians Ambulance Service Inc (Physicians Medical Transport Team)
• Nicole M. Piatak, LPCC
• Daniel John Pierre, MD, MA
• Pivotal Healing Center, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.