Active NPI
Lindsay M Dues, OD
- Optometrist
- Celina, OH
National Provider Identifier
1861747503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6117
- Practice address
- 1025 Grand Lake Rd
Celina, OH 45822-1309 - Phone
- (419) 586-3151
- Fax
- (419) 586-1059
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- 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 | 6117 | OH | Primary |
Addresses
Primary practice location
1025 Grand Lake Rd
Celina, OH 45822-1309
Mailing address
P.O. Box 377
1025 Grand Lake Rd
Celina, OH 45822-1309
Phone (419) 586-3151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0074229 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2024 Holiday Dr
Celina, OH 45822-8344
Phone (419) 586-3151
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6117 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Lake Eyecare LLC | Optometrist | Current | Accepting new patients |
| Grand Lake Eyecare, LLC | Optometrist | Current | Accepting new patients |
Locations
1025 Grand Lake Rd
Celina, OH 45822
Phone (419) 586-3151
2024 Holiday Dr
Celina, OH 45822
Phone (419) 586-3151
Interoperability endpoints
- lindsay.dues@direct.revolutionehr.com
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.
-
- Optometrist
- Celina, OH
- NPI 1548301690
-
- Optometrist
- Fort Recovery, OH
- NPI 1487083697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1861747503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 377",
"address_2": "1025 GRAND LAKE RD",
"city": "CELINA",
"state": "OH",
"postal_code": "458221309",
"telephone_number": "419-586-3151",
"fax_number": "419-586-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 GRAND LAKE RD",
"city": "CELINA",
"state": "OH",
"postal_code": "458221309",
"telephone_number": "419-586-3151",
"fax_number": "419-586-1059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUES",
"first_name": "LINDSAY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "6117",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0074229",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Celina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.
- 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.