Active NPI
M Dean Kiesling, O.D.
- Optometrist
- Hillsboro, OH
National Provider Identifier
1922090653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3356/771
- Practice address
- 180 Chillicothe Ave
Hillsboro, OH 45133-1570 - Phone
- (937) 393-2336
- Fax
- (937) 393-2744
- NPI assigned
- Aug 18, 2005
- Sex
- Male
- 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 | 3356/771 | OH | Primary |
Addresses
Primary practice location
180 Chillicothe Ave
Hillsboro, OH 45133-1570
Mailing address
PO Box 280
Hillsboro, OH 45133-0280
Phone (937) 393-2336
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051013000633 | OH | Practitioner - Optometry | 5890710396 | Practice locations: Hillsboro, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3356/771 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1922090653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 280",
"city": "HILLSBORO",
"state": "OH",
"postal_code": "451330280",
"telephone_number": "937-393-2336",
"fax_number": "937-393-2744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 CHILLICOTHE AVE",
"city": "HILLSBORO",
"state": "OH",
"postal_code": "451331570",
"telephone_number": "937-393-2336",
"fax_number": "937-393-2744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIESLING",
"first_name": "M",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3356/771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.