Organization Active NPI

Cynthia Colby-Axe

  • Optometrist
  • Chillicothe, OH
National Provider Identifier
1164523767
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5627 Issued in OH
Legal business name
CYNTHIA COLBY-AXE
Practice address
256 N Woodbridge Ave
Chillicothe, OH 45601-2245
Phone
(740) 773-4950
Fax
(740) 773-4965
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cynthia Colby-Axe, O.D.
Title
Owner
Phone
(740) 773-4950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 3392 OH
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 5627 OH Primary

Addresses

Primary practice location

256 N Woodbridge Ave
Chillicothe, OH 45601-2245

Mailing address

256 N Woodbridge Ave
Chillicothe, OH 45601-2245
Phone (740) 773-4950

Other identifiers 1

IdentifierTypeStateIssuer
0475749MedicaidOH

National Provider Directory

National Provider Directory

Locations

256 N Woodbridge Ave
Chillicothe, OH 45601
Phone (740) 773-4950

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164523767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 N WOODBRIDGE AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012245",
            "telephone_number": "740-773-4950",
            "fax_number": "740-773-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 N WOODBRIDGE AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012245",
            "telephone_number": "740-773-4950",
            "fax_number": "740-773-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA COLBY-AXE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLBY-AXE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-773-4950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3392",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475749",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.