Individual provider Active NPI

Heather D Dolasinski, O.D.

  • Optometrist
  • Washington Township, OH
National Provider Identifier
1548608490
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6194 Issued in OH
Practice address
1111 Miamisburg Centerville Rd
Washington Township, OH 45459-6713
Phone
(937) 436-7300
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6194 OH Primary

Addresses

Primary practice location

1111 Miamisburg Centerville Rd
Washington Township, OH 45459-6713

Mailing address

1111 Miamisburg Centerville Rd
Washington Township, OH 45459-6713
Phone (937) 436-7300

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
I20220623001711 OH Practitioner - Optometry 1759676190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rar Optometry IncGroup PAC ID 7618203621, 2 clinicians

Practice addresses (Care Compare)

564 N Main St
Unit a
Springboro, OH 45066-8001
Phone (937) 748-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6194OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rar Optometry Inc Optometrist CurrentSince Mar 10, 2022 Accepting new patients
Ohio Eye Doctors LLC Optometrist Current Accepting new patients
Rar Optometry Inc Optometrist CurrentSince Mar 10, 2022 Accepting new patients

Locations

4301 W Franklin St
Unit A
Bellbrook, OH 45305
Phone (937) 848-3393

4301 State Route 725
Unit A
Bellbrook, OH 45305

564 N Main St
Unit A
Springboro, OH 45066
Phone (937) 427-2020

Organizations & group practices 3

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1548608490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MIAMISBURG CENTERVILLE RD",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454596713",
            "telephone_number": "937-436-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MIAMISBURG CENTERVILLE RD",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454596713",
            "telephone_number": "937-436-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLASINSKI",
        "first_name": "HEATHER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Township, OH

Sources for this page

Verify at the official NPI Registry.