NPIMap

Organization Active NPI

Rose B. Dickerhoof, O.D.,Inc.

  • Optometrist
  • Medina, OH
National Provider Identifier
1558553784
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3791 Issued in OH
Legal business name
ROSE B. DICKERHOOF, O.D.,INC.
Practice address
837 N Court St
Medina, OH 44256-1718
Phone
(330) 725-4464
NPI assigned
Aug 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Dr. Rose B. Dickerhoof, O.D.
Title
Pres.
Phone
(330) 725-4464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3791 OH Primary

Addresses

Primary practice location

837 N Court St
Medina, OH 44256-1718

Mailing address

837 N Court St
Medina, OH 44256-1718
Phone (330) 725-4464

National Provider Directory

National Provider Directory

Locations

837 N Court St
Medina, OH 44256
Phone (330) 312-0497

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1558553784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 N COURT ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561718",
            "telephone_number": "330-725-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 N COURT ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561718",
            "telephone_number": "330-725-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE B. DICKERHOOF, O.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-12",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "DICKERHOOF",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "330-725-4464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.