DALTON LYLE FALER (OD) – Optometrist, NPI 1790575280

DALTON LYLE FALER (OD) is a healthcare provider. based in Bellefontaine, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.007370 (OH). The NPI Number for DALTON LYLE FALER (OD) is 1790575280

Main info

Male
1 Year Of Experience
Name
DALTON LYLE FALER (OD)
NPI
1790575280
Phone
(937) 593-1766
Address
2150 EWING CRAWFIS CIR
Enumeration Date
8 May 2025
Last Update Date
24 May 2025

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
9375931766
Graduation Year
2025 (1 year ago)
PAC ID
8729591730
Group Practice PAC ID
5597731018
Professional Enrollment ID
I20250702001831
Address ID
OH433119042BE2150XCIRX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for DALTON LYLE FALER (OD)

  • 2150 EWING CRAWFIS CIR

    BELLEFONTAINE, OH 433119042

    Phone: (937) 593-1766

    Type: Location

  • 4843 TOWNSHIP ROAD 56

    HUNTSVILLE, OH 433249786

    Phone: (937) 407-4881

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250702001831IOptometryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43311)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597731018View full group profile
NameSpecialtyState
O P T O M E T R YOH

Reviews

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Frequently asked questions

What NPI should I save for DALTON LYLE FALER (OD)?
Save NPI 1790575280 if you need a stable reference for DALTON LYLE FALER (OD).
Does this profile mean DALTON LYLE FALER (OD) is currently active?
Yes — DALTON LYLE FALER (OD) appears active in the national provider directory.
What kind of provider is DALTON LYLE FALER (OD)?
The page reflects Optometrist for DALTON LYLE FALER (OD). Clinical services aligned with this taxonomy classification.
Does DALTON LYLE FALER (OD) practice in Ohio?
You will see Bellefontaine, Ohio on file for DALTON LYLE FALER (OD) alongside any extra practice locations.
How can I contact DALTON LYLE FALER (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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