NPIMap

Organization Active NPI

Robert J. Dittoe, O.D., Inc.

  • Optometrist
  • New Lexington, OH
National Provider Identifier
1710064894
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3465 Issued in OH
Legal business name
ROBERT J. DITTOE, O.D., INC.
Practice address
391 Lincoln Park Dr
New Lexington, OH 43764-1080
Phone
(740) 342-1784
Fax
(740) 342-1791
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Dr. Robert J. Dittoe, O.D.
Title
President
Phone
(740) 342-1784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3465 OH Primary

Addresses

Primary practice location

391 Lincoln Park Dr
New Lexington, OH 43764-1080

Mailing address

PO Box 540
New Lexington, OH 43764-0540
Phone (740) 342-1784

Other identifiers 2

IdentifierTypeStateIssuer
0429656MedicaidOH
580002099AOtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

391 Lincoln Park Dr
New Lexington, OH 43764
Phone (740) 342-1784

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1710064894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437640540",
            "telephone_number": "740-342-1784",
            "fax_number": "740-342-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 LINCOLN PARK DR",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437641080",
            "telephone_number": "740-342-1784",
            "fax_number": "740-342-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. DITTOE, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "DITTOE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-342-1784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0429656",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "580002099A",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lexington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.