JOHN RICHARD DICKINSON (OD) – Optometrist, NPI 1407817216

JOHN RICHARD DICKINSON (OD) is a healthcare provider. based in Wilmington, Ohio. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 3019T406 (OH). The NPI Number for JOHN RICHARD DICKINSON (OD) is 1407817216

Main info

Male
Sole Proprietor
Name
JOHN RICHARD DICKINSON (OD)
NPI
1407817216
Phone
(937) 382-6643
Address
151 W MAIN ST
Enumeration Date
31 March 2006
Last Update Date
15 June 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN RICHARD DICKINSON (OD)

  • West Main Street, Wilmington, Clinton County, Ohio, 45177, United States

    WILMINGTON, OH 451772238

    Phone: (937) 382-6643

    Fax: (937) 382-6644

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2023-04-28 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($140).

Total Amount

$140

General + Research + Ownership

Payments

1

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-28

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2008-03-27

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
I20080327000293IOptometryOHTBD

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 45177)

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Reviews

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Frequently asked questions

What number should I use to identify JOHN RICHARD DICKINSON (OD) for billing?
Administrative and clinical systems typically use NPI 1407817216 for JOHN RICHARD DICKINSON (OD).
Should I treat JOHN RICHARD DICKINSON (OD) as an active provider?
Patients and plans typically see JOHN RICHARD DICKINSON (OD) as active in the national extract.
Which specialty label fits JOHN RICHARD DICKINSON (OD)?
NPPES ties JOHN RICHARD DICKINSON (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOHN RICHARD DICKINSON (OD)?
JOHN RICHARD DICKINSON (OD) is associated with Wilmington, Ohio in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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