Organization Active NPI

Tuttle Eye Associates Inc

  • Optometrist
  • Dublin, OH
National Provider Identifier
1114181021
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4581 Issued in OH
Legal business name
TUTTLE EYE ASSOCIATES INC
Practice address
5043 Tuttle Crossing Blvd
Dublin, OH 43016-1511
Phone
(440) 724-0396
NPI assigned
Jul 10, 2008
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. George Demetrios Poulos, O.D.NPI 1356380430
Title
Optometrist/Owner
Phone
(440) 724-0396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4581 OH Primary

Addresses

Primary practice location

5043 Tuttle Crossing Blvd
Dublin, OH 43016-1511

Mailing address

2859 Acarie Dr
Columbus, OH 43219-6198
Phone (440) 724-0396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090721000465 OH Part B Supplier - Clinic/Group Practice 2365594447 Receives reassigned benefits from 4 practitioners
Practice locations: Dublin, OH

National Provider Directory

National Provider Directory

Locations

5043 Tuttle Crossing Blvd
Dublin, OH 43016
Phone (440) 724-0396

5805 Frantz Rd
Dublin, OH 43016
Phone (614) 210-0321

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1114181021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 ACARIE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196198",
            "telephone_number": "440-724-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5043 TUTTLE CROSSING BLVD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430161511",
            "telephone_number": "440-724-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUTTLE EYE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "POULOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "DEMETRIOS",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "440-724-0396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.