Eli Dragisich, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6277 Issued in OH

Practice address

4100 Johnson Rd
Suite 204
Steubenville, OH 43952-2356

Phone

(740) 283-3937

NPI assigned

Sep 28, 2006

Last updated

Sep 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Change, Incorporated

  dba FAMILY MEDICAL CARE Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Weirton, WV
  • NPI 1245244367
  Medicare reassignment NPD
• Everett & Hurite Ophthalmic Association

  • Ophthalmology Physician
  • Pittsburgh, PA
  • NPI 1225146228
  NPD

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1831281856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 JOHNSON RD",
            "address_2": "SUITE 204",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522356",
            "telephone_number": "740-283-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 JOHNSON RD",
            "address_2": "SUITE 204",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522356",
            "telephone_number": "740-283-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGISICH",
        "first_name": "ELI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "599OD",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150189000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE",
            "identifier": "6277",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Dougherty, CT
• Kylie Jane Dougherty
• John Andrew Dovec, RPH
• Dr Abdullah M Kalla PLLC
• Dr Mei Yang Dental Group LLC
• Jeffrey Duffy
• David Mark Dumbola, BA, LCDC III
• Erin N Dunburg, STNA
• Stephanie Dunkle, CDCA
• Jennifer Lynne Dunlap, PHARM.D.

• Optometrist in Steubenville, OH
• Providers in Steubenville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.