Active NPI
David Trujillo, O.D.
- Optometrist
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6079
- Practice address
- 3000 Regency CT
Suite 100
Toledo, OH 43623-3092 - Phone
- (419) 885-8444
- NPI assigned
- Mar 5, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6079 | OH | Primary |
Addresses
Primary practice location
3000 Regency CT
Suite 100
Toledo, OH 43623-3092
Mailing address
1801 W Maumee St
Ste 100
Adrian, MI 49221-1291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 W Maumee St
100 Specialty Eye Institute
Adrian, MI 49221-1291
Phone (517) 265-6131
3000 Regency CT
Suite 100
Toledo, OH 43623-3081
Phone (800) 832-2015
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.86 of 100
- Quality
- 98.78
- Promoting interoperability
- 53
- Improvement activities
- 40
- Cost
- 76.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6079 | OH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Ravin, Birndorf & Ravin, Inc. | Optometrist | Current | Accepting new patients |
| Mid Michigan Eye Care Center, PC | Optometrist | Past | Accepting new patients |
| The Cleveland Clinic Foundation | Past | Accepting new patients | |
| Envision Icare, Inc | Optometrist | Past | Accepting new patients |
Locations
1801 W Maumee St
Ste 100
Adrian, MI 49221
Phone (517) 265-6131
580 Riverside Ave
Adrian, MI 49221
Phone (517) 265-6055
850 W North St
#104
Jackson, MI 49202
Phone (248) 647-9790
3000 Regency Ct
Ste 100
Toledo, OH 43623
Phone (419) 882-2020
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Toledo, OH
- NPI 1316043110
MI, Optometrist
-
- Optometrist
- Bellevue, OH
- NPI 1750534087
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1639443930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 W MAUMEE ST",
"address_2": "STE 100",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 REGENCY CT",
"address_2": "SUITE 100",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233092",
"telephone_number": "419-885-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "DAVID",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-05",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "6079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.