Individual provider Active NPI

Dalton Lyle Faler, OD

  • Optometrist
  • Bellefontaine, OH
National Provider Identifier
1790575280
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007370 Issued in OH
Practice address
2150 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Phone
(937) 593-1766
NPI assigned
May 8, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007370 OH Primary

Addresses

Primary practice location

2150 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042

Mailing address

4843 Township Road 56
Huntsville, OH 43324-9786
Phone (937) 407-4881

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
I20250702001831 OH Practitioner - Optometry 8729591730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Swartz Family Eyecare LLCGroup PAC ID 5597731018, 2 clinicians

Practice addresses (Care Compare)

2150 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Phone (937) 593-1766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.007370OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Swartz Family Eyecare, LLC Optometrist CurrentSince Jun 1, 2025 Accepting new patients

Locations

2150 Ewing Crawfis Cir
Bellefontaine, OH 43311
Phone (937) 593-1766

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": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1790575280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4843 TOWNSHIP ROAD 56",
            "city": "HUNTSVILLE",
            "state": "OH",
            "postal_code": "433249786",
            "telephone_number": "937-407-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 EWING CRAWFIS CIR",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119042",
            "telephone_number": "937-593-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALER",
        "first_name": "DALTON",
        "middle_name": "LYLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.