Timothy Dostall OD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

3387T414 Issued in OH

Legal business name

TIMOTHY DOSTALL OD

Practice address

411 East Ave
Elyria, OH 44035-5717

Phone

(440) 323-5709

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Robert Dostall, ODNPI 1659343432

Title

Owner

Phone

(440) 323-5709

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Timothy Robert Dostall, OD

  • Optometrist
  • Elyria, OH
  • NPI 1659343432
  NPD (past) Authorized official

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1578735189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 EAST AVE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355717",
            "telephone_number": "440-323-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 EAST AVE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355717",
            "telephone_number": "440-323-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY DOSTALL OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "DOSTALL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-323-5709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "3387T414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0462495",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesley Ann Thompson, H.H.A.
• Mary Melissa Thompson
• Ralph Colburn Thompson Jr., PH.D.
• Rebecca B. Thompson, PH.D.
• Thrive Behavioral Healthcare LLC
• Jillian Toccaceli, PT, DPT
• Emily Marie Toich
• Lucille Tolley
• Tina Marie Tomcko, LPC
• Taylor Claudia Tomczak, APRN

• Durable Medical Equipment & Medical Supplies in Elyria, OH
• Providers in Elyria, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.