Active NPI
Anissa Louise Dobzynecki
- Optician
- Mason, OH
National Provider Identifier
1982302675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- OP.016915-S
- Practice address
- 5303 Bowen Dr
Mason, OH 45040-6732 - Phone
- (513) 770-4178
- Fax
- (513) 770-4187
- NPI assigned
- Feb 21, 2023
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | OP.016915-S | OH | Primary |
Addresses
Primary practice location
5303 Bowen Dr
Mason, OH 45040-6732
Mailing address
5303 Bowen Dr
Mason, OH 45040-6732
Phone (513) 770-4178
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OP.016915-S | Medicaid | OH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP.016915-S | OH | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1982302675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5303 BOWEN DR",
"city": "MASON",
"state": "OH",
"postal_code": "450406732",
"telephone_number": "513-770-4178",
"fax_number": "513-770-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5303 BOWEN DR",
"city": "MASON",
"state": "OH",
"postal_code": "450406732",
"telephone_number": "513-770-4178",
"fax_number": "513-770-4187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBZYNECKI",
"first_name": "ANISSA",
"middle_name": "LOUISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-21",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "OP.016915-S",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OP.016915-S",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.