Individual provider Active NPI

William Edward Patton, O.D.

  • Optometrist
  • Canfield, OH
National Provider Identifier
1629484092
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6227 Issued in OH
Practice address
527 Hickory Hollow Dr
Canfield, OH 44406-1052
Phone
(330) 550-0232
NPI assigned
Jul 7, 2014
Last updated
Jul 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6227 OH Primary

Addresses

Primary practice location

527 Hickory Hollow Dr
Canfield, OH 44406-1052

Mailing address

527 Hickory Hollow Dr
Canfield, OH 44406-1052
Phone (330) 550-0232

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140908001365 OH Practitioner - Optometry 8921227810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio State UniversityGroup PAC ID 6103866207, 42 clinicians
Michelle L. Veneziano, O.D. Inc.Group PAC ID 1456372291, 3 clinicians

Practice addresses (Care Compare)

1664 Neil Ave
Columbus, OH 43201-2333
Phone (614) 292-2020

3025 Noe Bixby Rd
Columbus, OH 43232-5851
Phone (614) 837-3797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6227OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle L. Veneziano, O.D. Inc. Optometrist CurrentSince May 23, 2018 Accepting new patients
Ohio State University Optometrist CurrentSince Aug 20, 2014 Accepting new patients
Ohio State University CurrentSince Aug 20, 2014 Accepting new patients

Locations

1664 Neil Ave
Columbus, OH 43201
Phone (614) 292-2020

3025 Noe Bixby Rd
Columbus, OH 43232
Phone (614) 837-3797

338 W 10th Ave
Columbus, OH 43210
Phone (614) 292-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1629484092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 HICKORY HOLLOW DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061052",
            "telephone_number": "330-550-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 HICKORY HOLLOW DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061052",
            "telephone_number": "330-550-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.