Dayton Optometric Center Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DAYTON OPTOMETRIC CENTER INC.

Practice address

2440 Wilmington Pike
Dayton, OH 45419-2459

Phone

(937) 293-8685

Fax

(937) 293-2337

NPI assigned

Mar 11, 2008

Last updated

May 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Heath Bradley Gilbert, O.D.NPI 1114923844

Title

Vice President

Phone

(937) 293-8685

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dayton Optometric Center Inc.

  • Optometrist
  • Dayton, OH
  • NPI 1194722603

  O20090827000161

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heath Bradley Gilbert, O.D.

  • Optometrist
  • Dayton, OH
  • NPI 1114923844
  NPD Authorized official
• Kathleen Simms Rudolf, O. D.

  • Optometrist
  • Beavercreek, OH
  • NPI 1033349055
  NPD

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1841460482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SOUTHMOOR CIR NE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292450",
            "telephone_number": "937-293-8685",
            "fax_number": "937-293-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 WILMINGTON PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454192459",
            "telephone_number": "937-293-8685",
            "fax_number": "937-293-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON OPTOMETRIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "HEATH",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "937-293-8685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141626",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayton Newborn Care Specialists, Inc.
• Dayton Nursing & Rehabilitation Center LLC
• Dayton Occupational Consultants
• Dayton Occupational Medical Center LTD
• Dayton Optometric Center Inc.
• Dayton Orthopaedic Surgery & Sports Medicine Center
• Dayton Orthopedic Center, Inc
• Dayton Osteopathic Hospital (Kettering Health Dayton)
• Dayton Osteopathic Hospital (Kettering Health Washington Township Womens Care)
• Dayton Osteopathic Hospital (Kettering Health Pharmacy Cassano)

• 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 May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.