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Deactivated NPI 1225010960 Deactivated / Inactive NPI Male Practitioner

Dr. Park A Studebaker , OD

Optometrist • Dayton, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Park Studebaker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 17, 2005
NPI Deactivation Date May 01, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Park Studebaker, OD was a registered Optometrist practicing in Dayton, OH. Throughout an active medical career spanning 19 years, Dr. Studebaker provided care at the practice location at 2525 FAR HILLS AVE until profile deactivation on 2024-05-01.

Historical Medicare Part B clinical services included established patient complete exam of visual system, photography of the retina, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2525 Far Hills Ave

Dayton, OH 454191505

Telephone 9372980550
Fax 9372985404
Associated Practice Facility / Clinic
🏢 Oakwood Eye Clinic Facility NPI 1679765994

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.3 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
61 Specialists

Practicing in Dayton, OH (2535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
16.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
21 21 $145.00 $120.52

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 3639/T674

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1326144346

Doctor of Optometry

NPI 1811630387

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 01, 2024

Record deactivated on May 01, 2024

NPI Profile Active January 03, 2013

NPI status registered as active in NPPES database

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Updated Practice Location January 03, 2013

Registered at 2525 FAR HILLS AVE, DAYTON, OH 454191505 (Tel: 9372980550)

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Updated Business Mailing Address January 03, 2013

Registered at 6901 YANKEE ST, DAYTON, OH 454593321 (Tel: 9374342021)

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Provider Name / Credentials Updated January 03, 2013

Recorded as PARK STUDEBAKER, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2013

Optometrist (License #3639/T674 in OH)

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Initial NPI Registration & Enumeration November 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225010960
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2005
Last Update: January 03, 2013
Deactivation Date: May 01, 2024

Mailing Address

6901 Yankee St

Dayton, OH 454593321

Phone: 9374342021

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.