Antonios Dimitri Dimopoulos, MD

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

25IA13080100 Issued in NJ

Practice address

11 Eves Dr Ste 170
Marlton, NJ 08053-3130

Phone

(732) 426-3420

Fax

(732) 242-7681

NPI assigned

Apr 2, 2020

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 3

Medicare fee-for-service enrollment

Enrolled in OH, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

State University of New York Downstate Medical Center, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Physicians, LLCGroup PAC ID 6800207192, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Eye Physicians, LLC

  • Ophthalmology Physician
  • Columbus, OH
  • NPI 1740814516
  Medicare reassignment Care Compare group NPD
• Osu Eye Physicians and Surgeons LLC

  • Ophthalmology Physician
  • Columbus, OH
  • NPI 1861437923
  Medicare reassignment NPD
• The Plastic Surgery Center

  • Plastic and Reconstructive Surgery Physician
  • Red Bank, NJ
  • NPI 1386613834
  NPD
• Eye Physicians, LLC

  • Durable Medical Equipment & Medical Supplies
  • Westerville, OH
  • NPI 1619570991
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ohiohealth Corporation

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1467484972
  Care Compare affiliation
• Ohiohealth Corporation

  • Clinical Medical Laboratory
  • Columbus, OH
  • NPI 1710916945

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1679102750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SCHULZ DR STE 2",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016745",
            "telephone_number": "732-741-0970",
            "fax_number": "848-800-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 EVES DR STE 170",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533130",
            "telephone_number": "732-426-3420",
            "fax_number": "732-242-7681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Newman Springs Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077015691",
            "country_code": "US",
            "telephone_number": "732-426-3420",
            "fax_number": "732-242-7681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4096 English Creek Ave",
            "address_purpose": "LOCATION",
            "city": "Egg Harbor Township",
            "state": "NJ",
            "postal_code": "082345746",
            "country_code": "US",
            "telephone_number": "732-426-3420",
            "fax_number": "732-242-7681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W State St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Doylestown",
            "state": "PA",
            "postal_code": "189015853",
            "country_code": "US",
            "telephone_number": "732-426-3420",
            "fax_number": "732-242-7681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMOPOULOS",
        "first_name": "ANTONIOS",
        "middle_name": "DIMITRI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25IA13080100",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.149819",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6746102",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049932",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1234331",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Difelice, MS. CCC-SLP
• Amanda Digiovanni, OTR
• Fusun L. Dikengil, M.D.
• Alexandra Patricia Dilba, DC
• Danielle Dillenbeck
• Julianne N Dinsmore, APN
• Dana Dionot
• Thais DO Lago Rodrigues, LSW
• Bao Hoa DO, DPT
• Doctor Joseph Sireci LLC

• Ophthalmic Plastic and Reconstructive Surgery Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.