Active NPI
Cynthia Colby-Axe
- Optometrist
- Chillicothe, OH
National Provider Identifier
1164523767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5627
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3392 | OH | |
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0475749 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Ironton, OH
- NPI 1013017656
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.