Individual provider Active NPI

Michelle Lynn Veneziano, O.D.

  • Optometrist
  • Columbus, OH
National Provider Identifier
1104904481
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5344 Issued in OH
Practice address
3045 Noe Bixby Rd
Columbus, OH 43232-5851
Phone
(614) 837-3797
Fax
(614) 837-9494
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5344 OH Primary

Addresses

Primary practice location

3045 Noe Bixby Rd
Columbus, OH 43232-5851

Mailing address

3045 Noe Bixby Rd
Columbus, OH 43232-5851
Phone (614) 837-3797

Other identifiers 1

IdentifierTypeStateIssuer
2347544MedicaidOH

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
I20120418000542 OH Practitioner - Optometry 6507887353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michelle L. Veneziano, O.D. Inc.Group PAC ID 1456372291, 3 clinicians

Practice addresses (Care Compare)

3025 Noe Bixby Rd
Columbus, OH 43232-5851
Phone (614) 837-3797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5344OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle L. Veneziano, O.D. Inc. Optometrist CurrentSince Aug 20, 2002 Accepting new patients

Locations

3025 Noe Bixby Rd
Columbus, OH 43232
Phone (614) 837-3797

3045 Noe Bixby Rd
Columbus, OH 43232
Phone (614) 837-3797

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104904481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 NOE BIXBY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432325851",
            "telephone_number": "614-837-3797",
            "fax_number": "614-837-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 NOE BIXBY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432325851",
            "telephone_number": "614-837-3797",
            "fax_number": "614-837-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEZIANO",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2347544",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.