Active NPI
Philip James Dickey, O.D.
- Optometrist
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.006193
- Practice address
- 800 McKinley Ave NW
Canton, OH 44703-2463 - Phone
- (330) 452-8884
- NPI assigned
- May 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | OPT.006193 | OH | Primary |
Addresses
Primary practice location
800 McKinley Ave NW
Canton, OH 44703-2463
Mailing address
4616 Sherylton Hills Dr
Uniontown, OH 44685-9671
Phone (330) 697-3701
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8879 Brecksville Rd
Brecksville, OH 44141-1921
Phone (440) 526-3920
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.48 of 100
- Quality
- 77.53
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 77.39
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.006193 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Ohio Eye Surgeons, Inc. | Optometrist | Current | Accepting new patients |
| Northeast Ohio Eye Surgeons, Inc. | Optometrist | Current | Accepting new patients |
| Philip J. Dickey, O.D., Inc. | Optometrist | Current | Accepting new patients |
| Alicia G. Manenti,O.D.,Inc. | Optometrist | Past | Accepting new patients |
Locations
8879 Brecksville Rd
Brecksville, OH 44141
Phone (440) 526-3160
6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974
730 McKinley Ave NW
Canton, OH 44703
Phone (330) 458-3000
800 McKinley Ave NW
Canton, OH 44703
Phone (330) 452-8884
2013 State Route 59
Kent, OH 44240
Phone (330) 434-1185
6407 Frank Ave NW
North Canton, OH 44720
Phone (330) 966-1111
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Brecksville, OH
- NPI 1407637549
-
- Optometrist
- Kent, OH
- NPI 1932208733
-
- Optometrist
- Brecksville, OH
- NPI 1427235191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1457796310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4616 SHERYLTON HILLS DR",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446859671",
"telephone_number": "330-697-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MCKINLEY AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447032463",
"telephone_number": "330-452-8884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKEY",
"first_name": "PHILIP",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-06",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OPT.006193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.