Ronald L Detwiler, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3166T1622 Issued in OH

Practice address

15655 State Route 170
Ste. C
East Liverpool, OH 43920-9069

Phone

(330) 385-3895

Fax

(330) 385-5772

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Ronald L. Detwiler, O.D. Inc.Group PAC ID 4688756018, 5 clinicians

Optical Solutions 2 LLCGroup PAC ID 4688987225, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Ronald L. Detwiler, O.D. Inc.

  • Optometrist
  • East Liverpool, OH
  • NPI 1043406721
  Medicare reassignment Care Compare group NPD Authorized official
• Optical Solutions 2 LLC

  • Optometrist
  • Austintown, OH
  • NPI 1275939423
  Medicare reassignment Care Compare group NPD Authorized official
• Opticalsolutions

  • Optometrist
  • Austintown, OH
  • NPI 1659784965
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609956655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 W GARFIELD RD",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444089744",
            "telephone_number": "330-482-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 STATE ROUTE 170",
            "address_2": "STE. C",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209069",
            "telephone_number": "330-385-3895",
            "fax_number": "330-385-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWILER",
        "first_name": "RONALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3166T1622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0324741",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.