Patrick Dollenmayer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4274-T804 Issued in OH

Practice address

4775 Knightsbridge Blvd
Suite 102
Columbus, OH 43214-4313

Phone

(614) 459-0600

Fax

(614) 459-8750

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Ohio State University - College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbus Eye Care Associates IncGroup PAC ID 9931121456, 2 clinicians

Practice addresses (Care Compare)

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.

• Columbus Eye Care Associates, Inc.

  • Optometrist
  • Columbus, OH
  • NPI 1003080961
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1659411932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 KNIGHTSBRIDGE BLVD",
            "address_2": "SUITE 102",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144313",
            "telephone_number": "614-459-0600",
            "fax_number": "614-459-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 KNIGHTSBRIDGE BLVD",
            "address_2": "SUITE 102",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144313",
            "telephone_number": "614-459-0600",
            "fax_number": "614-459-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLENMAYER",
        "first_name": "PATRICK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "4274 - T804",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4274-T804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0842226",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark A Doles, PHARMD
• Tristen Catherine Dolesh
• Yalon Avner Dolev, MD.
• Mackenzie R Dolhun, APRN-CNP
• Deborah Doling-Dade
• Feliciano Robert G. Dolor, MD
• Melinda C Dolor, MD
• Emanuel Dolph, MD
• Courtney Ann Dolphin, ATC
• Khirrah Domask, MSW, LSW

• Optometrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.