Individual provider Active NPI

Darrell Lynn Laughlin, O.D.

  • Optometrist
  • New Philadelphia, OH
National Provider Identifier
1922094010
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3357/T534 Issued in OH
Practice address
217 N Broadway St
Suite 1
New Philadelphia, OH 44663-2611
Phone
(330) 343-8863
Fax
(330) 343-3590
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3357/T534 OH Primary

Addresses

Primary practice location

217 N Broadway St
Suite 1
New Philadelphia, OH 44663-2611

Mailing address

217 N Broadway St
Suite 1
New Philadelphia, OH 44663-2611
Phone (330) 343-8863

Other identifiers 1

IdentifierTypeStateIssuer
0584907MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3357/T534OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Eye Care of Tuscarawas County LLC Optometrist PastSince Mar 1, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1922094010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N BROADWAY ST",
            "address_2": "SUITE 1",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446632611",
            "telephone_number": "330-343-8863",
            "fax_number": "330-343-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N BROADWAY ST",
            "address_2": "SUITE 1",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446632611",
            "telephone_number": "330-343-8863",
            "fax_number": "330-343-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "DARRELL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3357/T534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0584907",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.