Individual provider Active NPI

Bryan Joseph Delmore, O.D.

  • Optometrist
  • Dublin, OH
National Provider Identifier
1790915205
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5855 Issued in OH
Practice address
5151 Post Rd
Dublin, OH 43017-1245
Phone
(614) 889-8331
Fax
(614) 760-0256
NPI assigned
Jul 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5855 OH Primary

Addresses

Primary practice location

5151 Post Rd
Dublin, OH 43017-1245

Mailing address

5151 Post Rd
Dublin, OH 43017-1245
Phone (614) 889-8331

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
I20091002000216 OH Practitioner - Optometry 2264578343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shamrock Family Eye Care IncGroup PAC ID 5991738254, 7 clinicians

Practice addresses (Care Compare)

5151 Post Rd
Dublin, OH 43017-1245
Phone (614) 889-8331

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5855OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shamrock Family Eye Care Inc Optometrist CurrentSince Dec 7, 2010 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

5151 Post Rd
Dublin, OH 43017
Phone (614) 889-8331

5151 Post Rd
#100
Dublin, OH 43017

Organizations & group practices 2

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": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1790915205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 POST RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171245",
            "telephone_number": "614-889-8331",
            "fax_number": "614-760-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 POST RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171245",
            "telephone_number": "614-889-8331",
            "fax_number": "614-760-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELMORE",
        "first_name": "BRYAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.