Individual provider Active NPI

Sheryl Dollenmayer, OD

  • Optometrist
  • Marion, OH
National Provider Identifier
1669536462
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4620 Issued in OH
Practice address
228 Barks Rd E
Marion, OH 43302-6426
Phone
(740) 389-2306
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4620 OH Primary
Pediatric Optometrist 152WP0200X 4620 OH

Addresses

Primary practice location

228 Barks Rd E
Marion, OH 43302-6426

Mailing address

1204 Berkeley CT
Powell, OH 43065-7809
Phone (614) 841-0019

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
I20080716000219 OH Practitioner - Optometry 9234202805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Dr. Johnathan Beauchamp and Associates, LLCGroup PAC ID 2466706239, 4 clinicians

Practice addresses (Care Compare)

228 Barks Rd E
Marion, OH 43302-6426
Phone (740) 389-2306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Johnathan Beauchamp and Associates, LLC Optometrist CurrentSince Dec 21, 2018 Accepting new patients

Locations

228 Barks Rd E
Marion, OH 43302
Phone (740) 389-2306

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1669536462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 BERKELEY CT",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657809",
            "telephone_number": "614-841-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 BARKS RD E",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026426",
            "telephone_number": "740-389-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLENMAYER",
        "first_name": "SHERYL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4620",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OH",
            "license": "4620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.