Daniel Andrew Detwiler, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

6029/T2944 Issued in OH

Practice address

933 S High St
Columbus, OH 43206-2523

Phone

(614) 444-6366

Fax

(614) 269-4155

NPI assigned

Aug 26, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Ronald L. Detwiler, O.D. Inc.

  • Optometrist
  • East Liverpool, OH
  • NPI 1043406721
  Medicare reassignment NPD
• Optical Solutions 2 LLC

  • Optometrist
  • Austintown, OH
  • NPI 1275939423
  Medicare reassignment NPD
• Craig D Miller LLC

  • Optometrist
  • Gahanna, OH
  • NPI 1295039683
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1548540107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 SOUTH HIGH STREET",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43206",
            "telephone_number": "614-444-6366",
            "fax_number": "614-269-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062523",
            "telephone_number": "614-444-6366",
            "fax_number": "614-269-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWILER",
        "first_name": "DANIEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-26",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6029/T2944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah E Detling, LPCC-S
• Avery Detrick
• Breanna M Detrick, CNP
• Jennifer S Dettra, RPH
• Andrew Stephen Detty, MD
• Tayler Lynn Detwiler, CRNA
• Dale C Deubler, PT, MS
• Maria T Deungria, MD
• Pamela G Deuser, PH.D.
• James J Deutschle Jr., PHD/LPCC

• Optometrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.

Verify at the official NPI Registry.