Individual provider Active NPI

Steven David Walsh, O.D.

  • Optometrist
  • Pataskala, OH
National Provider Identifier
1013032572
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4500 Issued in OH
Practice address
180 E Broad St
Suite a
Pataskala, OH 43062-7573
Phone
(614) 395-6998
Fax
(740) 927-7042
NPI assigned
Mar 20, 2007
Last updated
Sep 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4500 OH Primary

Addresses

Primary practice location

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

Mailing address

153 Trail East Rd
Pataskala, OH 43062-9652
Phone (614) 863-9104

Other identifiers 1

IdentifierTypeStateIssuer
O129462MedicaidOH

Other names 1

  • Steven Walsh Optometry Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150528000605 OH Practitioner - Optometry 3971823238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven Walsh OptometryGroup PAC ID 4284954546, 2 clinicians

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4500OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Walsh Optometry Optometrist CurrentSince Apr 1, 2015 Accepting new patients

Locations

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

Networks

  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1013032572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 TRAIL EAST RD",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430629652",
            "telephone_number": "614-863-9104",
            "fax_number": "614-863-9379"
        },
        {
            "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": "614-395-6998",
            "fax_number": "740-927-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "STEVEN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "O129462",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "OPTOMETRY",
            "middle_name": "WALSH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pataskala, OH

Sources for this page

Verify at the official NPI Registry.