Individual provider Active NPI

Kristin S Middlesworth, O.D.

  • Optometrist
  • Grove City, OH
National Provider Identifier
1013147446
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5893 Issued in OH
Practice address
1770 Stringtown Rd
Grove City, OH 43123-9049
Phone
(614) 801-9193
Fax
(614) 801-9288
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5893 OH Primary

Addresses

Primary practice location

1770 Stringtown Rd
Grove City, OH 43123-9049

Mailing address

1770 Stringtown Rd
Grove City, OH 43123-9049
Phone (614) 801-9193

Other names 1

  • Dr. Kristin E Schultz Former 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
I20090908000695 OH Practitioner - Optometry 3577618941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grove City Eye Associates LLCGroup PAC ID 2769537133, 4 clinicians

Practice addresses (Care Compare)

1770 Stringtown Rd
Grove City, OH 43123-9049
Phone (614) 801-9193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grove City Eye Associates, LLC Optometrist CurrentSince Aug 3, 2009 Accepting new patients

Locations

1770 Stringtown Rd
Grove City, OH 43123
Phone (614) 801-9193

Networks

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1013147446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 STRINGTOWN RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239049",
            "telephone_number": "614-801-9193",
            "fax_number": "614-801-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 STRINGTOWN RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239049",
            "telephone_number": "614-801-9193",
            "fax_number": "614-801-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLESWORTH",
        "first_name": "KRISTIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "SCHULTZ",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.