Organization Active NPI

David a Delprincipe OD Inc

  • Optometrist
  • Amherst, OH
National Provider Identifier
1609901461
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4513 Issued in OH
Legal business name
DAVID A DELPRINCIPE OD INC
Practice address
1541 Cooper Foster Park Rd
Amherst, OH 44001-1203
Phone
(440) 282-2020
Fax
(440) 282-1256
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Dr. David A Delprincipe, ODNPI 1679514756
Title
Owner
Phone
(440) 282-2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4513 OH Primary

Addresses

Primary practice location

1541 Cooper Foster Park Rd
Amherst, OH 44001-1203

Mailing address

1541 Cooper Foster Park Rd
Amherst, OH 44001-1203
Phone (440) 282-2020

Other identifiers 1

IdentifierTypeStateIssuer
2299070MedicaidOH

Other names 1

  • North Coast Eye Care, Amherst Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080229000411 OH Part B Supplier - Clinic/Group Practice 8224112131 Receives reassigned benefits from 4 practitioners
Practice locations: Amherst, OH

National Provider Directory

National Provider Directory

Locations

1541 Cooper Foster Park Rd
Amherst, OH 44001
Phone (440) 282-1047

154 Cooper Foster Park Rd
Amherst, OH 44001

38530 Chester Rd
Ste 200
Avon, OH 44011
Phone 4403333097313

Practitioners & affiliated clinicians

Practitioners 4

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1609901461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 COOPER FOSTER PARK RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011203",
            "telephone_number": "440-282-2020",
            "fax_number": "440-282-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 COOPER FOSTER PARK RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011203",
            "telephone_number": "440-282-2020",
            "fax_number": "440-282-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A DELPRINCIPE OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "DELPRINCIPE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-282-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2299070",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Coast Eye Care, Amherst",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amherst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.