Individual provider Active NPI

David L Bejot, OD

  • Optometrist
  • Toledo, OH
National Provider Identifier
1588668222
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4439 Issued in OH
Practice address
3000 Regency CT
Ste 100
Toledo, OH 43623-3081
Phone
(419) 882-2020
Fax
(419) 885-8440
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4439 OH Primary

Addresses

Primary practice location

3000 Regency CT
Ste 100
Toledo, OH 43623-3081

Mailing address

850 W North St
Suite 104
Jackson, MI 49202-3196
Phone (877) 852-8463

Other identifiers 3

IdentifierTypeStateIssuer
0944652MedicaidOH
180016444OtherRAILROAD MEDICARE
000000126980OtherOHANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050726000022 MI Practitioner - Optometry 9830161033 Reassigns benefits to 1 organization
I20051107000524 OH Practitioner - Optometry 9830161033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Ravin Birndorf and Ravin IncGroup PAC ID 2860487964, 7 clinicians

Practice addresses (Care Compare)

3000 Regency CT
Suite 100
Toledo, OH 43623-3081
Phone (800) 832-2015

Merit-based Incentive Payment System (MIPS)

Final score
80.86 of 100Reported as group
Quality
98.78
Promoting interoperability
53
Improvement activities
40
Cost
76.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4439OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Ravin, Birndorf & Ravin, Inc. Optometrist CurrentSince Jul 1, 1993 Accepting new patients
Mid Michigan Eye Care Center, PC Optometrist Past Accepting new patients
David M. Ohle, O.D. LLC Optometrist PastSince Dec 15, 2019 Accepting new patients

Locations

1801 W Maumee St
Ste 100
Adrian, MI 49221
Phone (517) 265-6131

2723 S State St
Ste 220
Ann Arbor, MI 48104

850 W North St
#104
Jackson, MI 49202
Phone (248) 647-9790

100 S Lynn St
Bryan, OH 43506
Phone (419) 636-0440

3000 Regency Ct
Ste 100
Toledo, OH 43623
Phone (419) 882-2020

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1588668222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W NORTH ST",
            "address_2": "SUITE 104",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023196",
            "telephone_number": "877-852-8463",
            "fax_number": "517-841-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 REGENCY CT",
            "address_2": "STE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233081",
            "telephone_number": "419-882-2020",
            "fax_number": "419-885-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEJOT",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0944652",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180016444",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000126980",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.