Individual provider Active NPI

Douglas D Oney, OD

  • Optometrist
  • Canton, OH
National Provider Identifier
1477728632
Registry record updated Mar 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4133/T1077 Issued in OH
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

Updated by the provider on Mar 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0743682MedicaidOH
0709572OtherOHMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050318000183 OH Practitioner - Optometry 7113972506 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4133/T1077OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
B&F Optical Inc Optometrist CurrentSince Jul 1, 1989 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

Verify at the official NPI Registry.