PAUL JOSEPH ALTON O.D.
NPI 1164401113
Optometrist in Lorain, OH

Q: What is Paul Alton's NPI number?

The NPI number for Paul Alton is 1164401113. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Q: What is Paul Alton's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Alton was last updated on February 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 10, 2006PECOS Enrolled

4650 OBERLIN AVE, LORAIN, OH 44053(440) 282-9800(440) 282-1697 Get Directions Write a Review

NPPES record last updated: February 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Paul Joseph Alton O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL JOSEPH ALTON O.D. (NPI 1164401113) is an individual optometrist in Lorain, Ohio, licensed in Ohio (3997) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1988).

NPPES Registry Identity

NPI1164401113

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NamePAUL JOSEPH ALTONCredential: O.D.

Location Address4650 OBERLIN AVELorain, OH 44053-3115

Mailing Address4650 Oberlin AveLorain, OH 44053-3115 · (440) 282-9800 · Fax (440) 282-1697

Phone(440) 282-9800

Fax(440) 282-1697

Sole ProprietorNo

Medical School CMSOhio State University - College Of OptometryGraduated 1988

Enumeration DateJanuary 10, 2006

Last NPPES UpdateFebruary 15, 2018

✔ NPI 1164401113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OH · 3997

Definition

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.

4650 OBERLIN AVE, Lorain, OH 44053

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Other Identifiers 1

Medicaid0821141OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Joseph Alton O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931213485

PECOS Enrollment IDI20110203000768

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

62 services62 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44053 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL J ALTON OD INC

Optometrist

4650 OBERLIN AVE
LORAIN, OH 44053

Lorain County (440) 282-9800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Alton's NPI number?

The NPI number for Paul Alton is 1164401113. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Paul Alton located?

Paul Alton practices at 4650 Oberlin Ave, Lorain, OH 44053. The listed phone number is (440) 282-9800.

What is Paul Alton's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Paul Alton enrolled in Medicare?

Yes. Paul Alton is registered in the Medicare PECOS enrollment system.

What insurance does Paul Alton accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Providence Health Plan and UnitedHealthcare list Paul Alton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Alton was last updated on February 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.