Active NPI
Steven Walsh Optometry
- Optometrist
- Pataskala, OH
National Provider Identifier
1003203084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4500
- 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, OD
- 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.
-
- Optometrist
- Pataskala, OH
- NPI 1851211585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150528000336 | OH | Part B Supplier - Clinic/Group Practice | 4284954546 |
Receives reassigned benefits from 2 practitioners Practice locations: Pataskala, OH |
National Provider Directory
National Provider DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4500 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10814862 | Other | OH | CAQH |
Other names 1
NPPES NPI Registry- The Pataskala Vision Center
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.