Individual provider Active NPI

David Louis Malof, O.D.

  • Optometrist
  • Milford, OH
National Provider Identifier
1477579415
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4475/T1131 Issued in OH
Practice address
5854 Cinema Dr
Milford, OH 45150-1507
Phone
(513) 248-1212
Fax
(513) 248-1247
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4475/T1131 OH Primary

Addresses

Primary practice location

5854 Cinema Dr
Milford, OH 45150-1507

Mailing address

11270 Cornell Woods Dr
Cincinnati, OH 45241-2400
Phone (513) 530-0222

Other identifiers 1

IdentifierTypeStateIssuer
791580929OtherOHRAILROAD MEDICARE

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
I20100423000369 OH Practitioner - Optometry 8426185356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey a Rahn OD IncGroup PAC ID 2860413382, 3 clinicians

Practice addresses (Care Compare)

5854 Cinema Dr
Suite a
Milford, OH 45150-1507
Phone (513) 248-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3304OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey a Rahn OD Inc Optometrist CurrentSince Jul 31, 1995 Accepting new patients

Locations

5854 Cinema Dr
Ste A
Milford, OH 45150
Phone (513) 248-1212

5854 Cinema Dr
Milford, OH 45150
Phone (513) 248-1212

Organizations & group practices 1

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1477579415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11270 CORNELL WOODS DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412400",
            "telephone_number": "513-530-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5854 CINEMA DR",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501507",
            "telephone_number": "513-248-1212",
            "fax_number": "513-248-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOF",
        "first_name": "DAVID",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4475/T1131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "791580929",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.