Eric E Dale, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003449A Issued in IN

Practice address

520 Manchester Avenue
Wabash, IN 46992-1415

Phone

(260) 563-0884

Fax

(260) 563-3284

NPI assigned

Aug 16, 2007

Last updated

Aug 16, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana University - School of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marion Family Optometrists IncGroup PAC ID 5395803290, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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

• Marion Family Optometrists, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Wabash, IN
  • NPI 1457534125

  Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Marion Family Optometrists, Inc.

  dba Family Optometry

  • Optometrist
  • Wabash, IN
  • NPI 1144650680
  NPD Authorized official

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1669664363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MANCHESTER AVENUE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921415",
            "telephone_number": "260-563-0884",
            "fax_number": "260-563-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MANCHESTER AVENUE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921415",
            "telephone_number": "260-563-0884",
            "fax_number": "260-563-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "ERIC",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003449A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cullins, MA
• Cheri Michele Culver, EDUCATION SPECIALIST
• Lindsay J Culver, O.D.
• Meghan Dee Culwell
• Christine Curless, MA
• Rachel Adele Dale, M.A., CCC-SLP
• Bridget M Darr, MD
• Brian Davault, MD
• Katie Davidson, MSW, LSW, CTP
• Erin Marie Davis, PH.D., HSPP

• Optometrist in Wabash, IN
• Providers in Wabash, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.