Active NPI
L. Douglas Patton,O.D., Inc.
- Optometrist
- Chardon, OH
National Provider Identifier
1629342852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OH4039/T590
- Legal business name
- L. DOUGLAS PATTON,O.D., INC.
- Practice address
- 325 Center St
Chardon, OH 44024-1184 - Phone
- (440) 286-7185
- Fax
- (440) 286-7399
- NPI assigned
- Mar 6, 2012
- Last updated
- Mar 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lon Douglas Patton, O.D.
- Title
- President
- Phone
- (440) 286-7185
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OH4039/T590 | OH | Primary |
Addresses
Primary practice location
325 Center St
Chardon, OH 44024-1184
Mailing address
325 Center St
Chardon, OH 44024-1184
Phone (440) 286-7185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- L Douglas Patton OD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Chardon, OH
- NPI 1699912535
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Chardon, OH
- NPI 1316050198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330992000000",
"number": "1629342852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 CENTER ST",
"city": "CHARDON",
"state": "OH",
"postal_code": "440241184",
"telephone_number": "440-286-7185",
"fax_number": "440-286-7399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 CENTER ST",
"city": "CHARDON",
"state": "OH",
"postal_code": "440241184",
"telephone_number": "440-286-7185",
"fax_number": "440-286-7399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L. DOUGLAS PATTON,O.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-06",
"last_updated": "2012-03-06",
"status": "A",
"authorized_official_last_name": "PATTON",
"authorized_official_first_name": "LON",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "440-286-7185",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OH4039/T590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.