Mark A. Dumbauld, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4276 Issued in OH

Practice address

55 W Martin St
East Palestine, OH 44413-1761

Phone

(330) 426-3428

Fax

(330) 426-3428

NPI assigned

Oct 14, 2005

Sex

Male

Sole proprietor

Yes

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 OH2 enrollments

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 2

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Optical Solutions 2 LLC

  • Optometrist
  • Austintown, OH
  • NPI 1275939423
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1891784658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W MARTIN ST",
            "address_2": "P.O. BOX 47",
            "city": "EAST PALESTINE",
            "state": "OH",
            "postal_code": "444131761",
            "telephone_number": "330-426-3428",
            "fax_number": "330-426-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W MARTIN ST",
            "city": "EAST PALESTINE",
            "state": "OH",
            "postal_code": "444131761",
            "telephone_number": "330-426-3428",
            "fax_number": "330-426-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMBAULD",
        "first_name": "MARK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0843716",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachele Costarella, M.ED., ED.S.
• Covington SNF Inc.
• Amy Shawn Curtis
• D & I Home Medical
• Giuseppe A Deabate, APRN
• East Palestine City School District
• East Palestine Family Medical Clinic, Inc.
• Stephanie E. Eastek, CNP
• Elite Pharmacy East Palestine LLC
• Excel Physical Therapy Inc.

• Optometrist in East Palestine, OH
• Providers in East Palestine, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.