Individual provider Active NPI

Philip James Dickey, O.D.

  • Optometrist
  • Canton, OH
National Provider Identifier
1457796310
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006193 Issued in OH
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

Updated by the provider on May 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140903001942 OH Practitioner - Optometry 4486872496 Reassigns benefits to 2 organizations

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 100Reported as group
Quality
77.53
Promoting interoperability
96
Improvement activities
40
Cost
77.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.006193OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Ohio Eye Surgeons, Inc. Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Northeast Ohio Eye Surgeons, Inc. Optometrist Current Accepting new patients
Philip J. Dickey, O.D., Inc. Optometrist CurrentSince Oct 18, 2023 Accepting new patients
Alicia G. Manenti,O.D.,Inc. Optometrist PastSince Jan 15, 1999 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.

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

Verify at the official NPI Registry.