Individual provider Active NPI

Aaron S Doudna, OD

  • Optometrist
  • Cambridge, OH
National Provider Identifier
1689604324
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4641/T1416 Issued in OH
Practice address
1335 Southgate Pkwy
Cambridge, OH 43725-3015
Phone
(740) 439-1098
Fax
(740) 439-3165
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4641/T1416 OH Primary

Addresses

Primary practice location

1335 Southgate Pkwy
Cambridge, OH 43725-3015

Mailing address

60691 Greenlawn Rd
Quaker City, OH 43773-9688
Phone (740) 439-1098

Other identifiers 4

IdentifierTypeStateIssuer
452082001OtherOHDMERC PROVIDER #
9321631OtherOHMEDICARE GROUP NUMBER
410049131OtherOHRAILROAD MEDICARE
0169366/6566685MedicaidOH

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
I20120120000280 OH Practitioner - Optometry 8325159361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cambridge Family Eye Care IncGroup PAC ID 7416981162, 2 clinicians

Practice addresses (Care Compare)

1335 Southgate Pkwy
Cambridge, OH 43725-3015
Phone (740) 439-1098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4641/T1416OHMDOptometrist
4641OHMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Family Eye Care Inc Optometrist CurrentSince Jan 1, 2002 Accepting new patients

Locations

1335 Southgate Pkwy
Cambridge, OH 43725
Phone (614) 439-1098

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1689604324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60691 GREENLAWN RD",
            "city": "QUAKER CITY",
            "state": "OH",
            "postal_code": "437739688",
            "telephone_number": "740-439-1098",
            "fax_number": "740-439-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 SOUTHGATE PKWY",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437253015",
            "telephone_number": "740-439-1098",
            "fax_number": "740-439-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUDNA",
        "first_name": "AARON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4641/T1416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC PROVIDER #",
            "identifier": "452082001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "9321631",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410049131",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0169366/6566685",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.