Individual provider Active NPI

Joseph Daniel Culp, OD

  • Optometrist
  • Springfield, OH
National Provider Identifier
1043833320
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006859 Issued in OH
Practice address
1018 Cheyenne Ave
Springfield, OH 45503-6109
Phone
(937) 399-0282
NPI assigned
May 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006859 OH Primary

Addresses

Primary practice location

1018 Cheyenne Ave
Springfield, OH 45503-6109

Mailing address

2016 Cooley Lane
Huber Heights, OH 45424
Phone (937) 407-6403

Other practice location 1

207 S Glenn Ave
Washington Court House, OH 43160-1711
Phone (740) 335-2020

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
I20200527003198 OH Practitioner - Optometry 2769803865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optometric Management Group LLCGroup PAC ID 7517034291, 43 clinicians

Practice addresses (Care Compare)

265 N Liberty St
Powell, OH 43065-8870
Phone (614) 793-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fries Eye Care, LLC Optometrist CurrentSince Jun 1, 2020 Accepting new patients
Fries Eye Care, LLC Optometrist Current Accepting new patients
Optometric Management Group LLC Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Miamisburg Vision Care Past Accepting new patients

Locations

340 Alexandersville Rd
Miamisburg, OH 45342
Phone (937) 866-3471

265 N Liberty St
Powell, OH 43065
Phone (614) 793-0700

1018 Cheyenne Ave
Springfield, OH 45503
Phone (937) 399-0282

1050 Washington Ave
Washington Court House, OH 43160
Phone (740) 335-1025

207 S Glenn Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-5501

Organizations & group practices 4

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": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1043833320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 COOLEY LANE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "45424",
            "telephone_number": "937-407-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 CHEYENNE AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455036109",
            "telephone_number": "937-399-0282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 S Glenn Ave",
            "address_purpose": "LOCATION",
            "city": "Washington Court House",
            "state": "OH",
            "postal_code": "431601711",
            "country_code": "US",
            "telephone_number": "740-335-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULP",
        "first_name": "JOSEPH",
        "middle_name": "DANIEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.