Active NPI
Douglas D Oney, OD
- Optometrist
- Canton, OH
National Provider Identifier
1477728632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4133/T1077
- Practice address
- 1111 12TH St NW
Canton, OH 44703-1905 - Phone
- (330) 455-8629
- Fax
- (330) 455-8429
- NPI assigned
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4133/T1077 | OH | Primary |
Addresses
Primary practice location
1111 12TH St NW
Canton, OH 44703-1905
Mailing address
1111 12TH St NW
Canton, OH 44703-1905
Phone (330) 455-8629
Other practice location 1
503 E Liberty St
Wooster, OH 44691-3687
Phone (330) 264-2344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0743682 | Medicaid | OH | |
| 0709572 | Other | OH | MEDICARE PTAN |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050318000183 | OH | Practitioner - Optometry | 7113972506 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4133/T1077 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B&F Optical Inc | Optometrist | Current | Accepting new patients |
Locations
1111 12th St NW
Canton, OH 44703
Phone (330) 455-8429
503 E Liberty St
Ste D
Wooster, OH 44691
Phone (330) 264-2344
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": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772841600000",
"number": "1477728632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 12TH ST NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447031905",
"telephone_number": "330-455-8629",
"fax_number": "330-455-8429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 12TH ST NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447031905",
"telephone_number": "330-455-8629",
"fax_number": "330-455-8429"
}
],
"practiceLocations": [
{
"address_1": "503 E Liberty St",
"address_purpose": "LOCATION",
"city": "Wooster",
"state": "OH",
"postal_code": "446913687",
"country_code": "US",
"telephone_number": "330-264-2344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ONEY",
"first_name": "DOUGLAS",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-28",
"last_updated": "2026-03-07",
"certification_date": "2026-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4133/T1077",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0743682",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0709572",
"state": "OH"
}
],
"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 Mar 7, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.