Donch and Baker, O.D. Eye Doctors of Madison, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DONCH AND BAKER, O.D. EYE DOCTORS OF MADISON, LLC

Practice address

103 N Lake St
Madison, OH 44057-3115

Phone

(440) 428-2526

Fax

(440) 428-2526

NPI assigned

Feb 22, 2008

Last updated

Sep 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nick J Donch, OD

Title

Owner

Phone

(440) 428-2526

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Alan Baker, O.D.

  • Optometrist
  • Madison, OH
  • NPI 1821227828
  Medicare reassignment NPD
• Diana Jo Kahley

  • Optometrist
  • Cochranton, PA
  • NPI 1255432985
  NPD (past)

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1457520553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N LAKE ST",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440573115",
            "telephone_number": "440-428-2526",
            "fax_number": "440-428-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N LAKE ST",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440573115",
            "telephone_number": "440-428-2526",
            "fax_number": "440-428-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONCH AND BAKER, O.D. EYE DOCTORS OF MADISON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "DONCH",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-428-2526",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2257105",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OH2762",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Deitmen, MS, OTR/L
• Kelden Del Vecchio, PA-C
• Divine Living of Madison
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• Marti Dixon, PCC-S
• Jeanne L Donze, PCC
• Dr Frank Sailors & Associates Inc
• Dr. Edward S. Friedman, Optometrist Inc.
• Drayer Physical Therapy Institute LLC
• Pamela Belle Dustman, PCC-S LICDC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.