Optometric Management Group LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTOMETRIC MANAGEMENT GROUP LLC

Practice address

1049 Bethel Rd
Columbus, OH 43220-2609

Phone

(614) 326-1830

Fax

(614) 326-1832

NPI assigned

Jun 16, 2020

Organization subpart

No

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

Authorized official

Name

Jason R Miller, OD

Title

Owner

Phone

(614) 296-1175

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David M Anderson, O.D.

  • Optometrist
  • Miamisburg, OH
  • NPI 1497759344
  NPD (past)
• Michael R Schmit, O.D.

  • Optometrist
  • Cincinnati, OH
  • NPI 1376548891
  NPD (past)

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1154946044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 MALLARDS LANDING DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658617",
            "telephone_number": "614-296-1175",
            "fax_number": "614-326-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202609",
            "telephone_number": "614-326-1830",
            "fax_number": "614-326-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-296-1175",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Columbus, OH
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.