Organization Active NPI

Steven Walsh Optometry

  • Optometrist
  • Pataskala, OH
National Provider Identifier
1003203084
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4500 Issued in OH
Legal business name
STEVEN WALSH OPTOMETRY
Practice address
180 E Broad St
Suite a
Pataskala, OH 43062-7573
Phone
(740) 927-3061
NPI assigned
Apr 17, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Steven David Walsh, ODNPI 1013032572
Title
Sole Owner
Phone
(614) 395-6998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150528000336 OH Part B Supplier - Clinic/Group Practice 4284954546 Receives reassigned benefits from 2 practitioners
Practice locations: Pataskala, OH

National Provider Directory

National Provider Directory

Locations

180 E Broad St
Pataskala, OH 43062
Phone (740) 927-3061

180 E Broad St
Ste A
Pataskala, OH 43062
Phone (614) 395-6998

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4500 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

180 E Broad St
Suite a
Pataskala, OH 43062-7573

Mailing address

180 E Broad St
Suite a
Pataskala, OH 43062-7573
Phone (740) 927-3061

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
10814862OtherOHCAQH

Other names 1

NPPES NPI Registry
  • The Pataskala Vision Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2015.

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1003203084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E BROAD ST",
            "address_2": "SUITE A",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430627573",
            "telephone_number": "740-927-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E BROAD ST",
            "address_2": "SUITE A",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430627573",
            "telephone_number": "740-927-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN WALSH OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "614-395-6998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10814862",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pataskala Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pataskala, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.