Provider Demographics
NPI:1548348881
Name:DR. D. MICHAEL DOPKISS & ASSOCIATES INC.
Entity type:Organization
Organization Name:DR. D. MICHAEL DOPKISS & ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:D
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:DOPKISS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:614-798-0266
Mailing Address - Street 1:1492 MORSE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6440
Mailing Address - Country:US
Mailing Address - Phone:614-846-4001
Mailing Address - Fax:614-846-4003
Practice Address - Street 1:1492 MORSE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6440
Practice Address - Country:US
Practice Address - Phone:614-846-4001
Practice Address - Fax:614-846-4003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3341152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2600126Medicaid
OHD9253645Medicare ID - Type Unspecified