Dublin Jerome Eyecare LLC – Optometrist

Key facts

NPI: 1003630385
Entity type: Organization (NPI type 2)
Primary specialty: Optometrist 152W00000X
Legal business name: DUBLIN JEROME EYECARE LLC
Practice address: 11902 Sycamore Trace
Plain City, OH 43064
Phone: (614) 733-8522
Fax: (614) 733-8544
NPI assigned: Nov 13, 2024
Organization subpart: No

Authorized official

Name: Joseph Razzano, OD NPI 1760898233
Title: Owner
Phone: (614) 873-1003

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

Practitioners 1

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

Joseph John Razzano, O.D. Optometrist · Columbus, OH · NPI 1760898233

Medicare reassignment NPD Authorized official OH · OPTOMETRIST

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OH

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20250515001245	OH	Part B Supplier - Clinic/Group Practice	6507384377	Receives reassigned benefits from 1 practitioner Practice locations: Plain City, OH

National Provider Directory

Locations

11902 Sycamore Trce
Ste B
Plain City, OH 43064
Phone (614) 733-8522

11902 Sycamore Trce
Plain City, OH 43064
Phone (614) 733-8522

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist Group: 193400000X SINGLE SPECIALTY GROUP	152W00000X			Yes

Addresses

Primary practice location

11902 Sycamore Trace
Plain City, OH 43064

Mailing address

11902 Sycamore Trace
Plain City, OH 43064
Phone (614) 733-8522

Other practice location 1

11309 Cedar Crest Dr
Plain City, OH 43064-9262
Phone (614) 873-1003

Other providers in Plain City, OH

All providers in Plain City, OH · Optometrist in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.