Active NPI
Thomas B Dankworth, O.D.
- Optometrist
- Lebanon, OH
National Provider Identifier
1821096587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2906 T400
- Practice address
- 600 Mound CT
Lebanon, OH 45036-1994 - Phone
- (513) 932-5965
- Fax
- (513) 932-2650
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2906 T400 | OH | Primary |
Addresses
Primary practice location
600 Mound CT
Lebanon, OH 45036-1994
Mailing address
600 Mound CT
PO Box 406
Lebanon, OH 45036-1994
Phone (513) 932-5965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2906 | OH | MD | Chiropractor |
| 2906 T400 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225411200000",
"number": "1821096587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 MOUND CT",
"address_2": "PO BOX 406",
"city": "LEBANON",
"state": "OH",
"postal_code": "450361994",
"telephone_number": "513-932-5965",
"fax_number": "513-932-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MOUND CT",
"city": "LEBANON",
"state": "OH",
"postal_code": "450361994",
"telephone_number": "513-932-5965",
"fax_number": "513-932-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANKWORTH",
"first_name": "THOMAS",
"middle_name": "B",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2008-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "2906 T400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.