Individual provider Active NPI

Anthony Edward Fox, O.D., M.S.

  • Optometrist
  • Bellefontaine, OH
National Provider Identifier
1770547960
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5471 T2383 Issued in OH
Practice address
315 E Columbus Ave
Bellefontaine, OH 43311-2001
Phone
(937) 592-9777
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 237 AK
Optometrist 152W00000X 5471 T2383 OH Primary
Sports Vision Optometrist 152WS0006X 5471 T2383 OH

Addresses

Primary practice location

315 E Columbus Ave
Bellefontaine, OH 43311-2001

Mailing address

315 E Columbus Ave
Bellefontaine, OH 43311-2001
Phone (937) 592-9777

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
I20040913000001 OH Practitioner - Optometry 9032186812 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5471 T2383OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Optometry, LLC Optometrist CurrentSince Apr 16, 2013 Accepting new patients
Marvin John Grendahl MD a Professional Corp. Past Accepting new patients
Alaska Childrens Eye and Strabismus LLC Past Accepting new patients

Locations

444 W Union St
Athens, OH 45701
Phone (740) 592-4439

315 E Columbus Ave
Bellefontaine, OH 43311
Phone (937) 592-9777

1454 W Mound St
Columbus, OH 43223
Phone (614) 276-5441

1325 Cameron Ave
Lewis Center, OH 43035
Phone (614) 781-5603

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_ACES

Organizations & group practices 3

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1770547960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E COLUMBUS AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112001",
            "telephone_number": "937-592-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E COLUMBUS AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112001",
            "telephone_number": "937-592-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "ANTHONY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "237",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5471 T2383",
            "primary": true
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "OH",
            "license": "5471 T2383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.