Organization Active NPI

Dr. Andrew M. Dodd LLC

  • Optometrist
  • Akron, OH
National Provider Identifier
1609055664
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. ANDREW M. DODD LLC
Practice address
2282 Newton St
Akron, OH 44305-3040
Phone
(330) 794-9700
Fax
(330) 794-6791
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Dr. Andrew M. Dodd, O.D.NPI 1982712618
Title
Optometrist
Phone
(330) 794-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X 5302

Addresses

Primary practice location

2282 Newton St
Akron, OH 44305-3040

Mailing address

2282 Newton St
Akron, OH 44305-3040
Phone (330) 794-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080130000018 OH Part B Supplier - Clinic/Group Practice 1456433432 Receives reassigned benefits from 3 practitioners
Practice locations: Akron, OH
O20100930086755 OH DME Supplier - Physician - Optometrist 1456433432 Practice locations: Akron, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dr. Andrew M. Dodd LLC2282 Newton St, Akron, OH 44305-3040(330) 794-9700 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Does not accept assignmentParticipating since Jan 30, 2008

National Provider Directory

National Provider Directory

Locations

2282 Newton St
Akron, OH 44305
Phone (330) 794-9700

Practitioners & affiliated clinicians

Practitioners 3

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": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1609055664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 NEWTON ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443053040",
            "telephone_number": "330-794-9700",
            "fax_number": "330-794-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 NEWTON ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443053040",
            "telephone_number": "330-794-9700",
            "fax_number": "330-794-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANDREW M. DODD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "330-794-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "5302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.