Richard A. Fenton, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OH4100 Issued in OH

Practice address

1679 Woodman Dr
Dayton, OH 45432-3336

Phone

(937) 258-1515

Fax

(937) 258-9790

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Stahl Vision IncGroup PAC ID 3476458167, 4 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Aeg Ohio Professional PC

  • Optometrist
  • Solon, OH
  • NPI 1154980811
  Medicare reassignment Care Compare group NPD
• Stahl Vision Inc

  • Ophthalmology Physician
  • Beavercreek, OH
  • NPI 1952354136

  Optometrist

  Medicare reassignment Care Compare group NPD
• Family First Vision Care, LLC

  • Optometrist
  • Columbus, OH
  • NPI 1427462183
  Medicare reassignment NPD
• Family First Vision Care Kentucky, LLC

  • Optometrist
  • Fort Mitchell, KY
  • NPI 1396396750

  OH

  Medicare reassignment NPD
• Aeg Ohio Professional PC

  • Optometrist
  • Cincinnati, OH
  • NPI 1932708047
  NPD
• Family First Vision Care Kentucky, LLC

  • Optometrist
  • Beavercreek, OH
  • NPI 1164142444
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1841249679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 SOUTH STATE STREET",
            "city": "PHILLIPSBURG",
            "state": "OH",
            "postal_code": "45354",
            "telephone_number": "937-884-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323336",
            "telephone_number": "937-258-1515",
            "fax_number": "937-258-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH4100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0769511",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Patrick Fennell, LSW, CCDC1
• Lynda Lee Fenner, LISW-S
• Jennifer K Fenske-Doyle, MSW, LISW
• Mark E. Fenster, M.D.
• Rachel Fenton, OD, MS
• Makenzie Jo Fentress, DDS
• Samantha Lee Fenwick, DPT
• Gerald Edward Ferg III
• Andrew Allen Ferguson, DO
• Caroline Grace Ferguson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.