Active NPI
Courtney Elizabeth Justice, O.D.
- Optometrist
- Columbus, OH
National Provider Identifier
1033586912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.6382
- Practice address
- 2700 Bethel Rd
Columbus, OH 43220-2217 - Phone
- (614) 326-0761
- NPI assigned
- Aug 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.6382 | OH | Primary |
Addresses
Primary practice location
2700 Bethel Rd
Columbus, OH 43220-2217
Mailing address
308 Elizabeth LN
Waverly, OH 45690-1168
Phone (740) 222-8794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6382 | OH | MD | Clinical Child & Adolescent Psychologist |
| OPT.6382 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440633600000",
"number": "1033586912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 ELIZABETH LN",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456901168",
"telephone_number": "740-222-8794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 BETHEL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432202217",
"telephone_number": "614-326-0761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "COURTNEY",
"middle_name": "ELIZABETH",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-27",
"last_updated": "2015-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OPT.6382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.