NPIMap

Organization Active NPI

Ackerson Eyecare Center, Inc

  • Optometrist
  • Hilliard, OH
National Provider Identifier
1205907953
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3586 Issued in OH
Legal business name
ACKERSON EYECARE CENTER, INC
Practice address
4555 Cemetery Rd
Hilliard, OH 43026-1102
Phone
(614) 876-4044
Fax
(614) 876-0255
NPI assigned
Nov 13, 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. Laird D Ackerson, O.D.NPI 1609880624
Title
Chief Executive Officer
Phone
(614) 876-4044

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3586 OH Primary

Addresses

Primary practice location

4555 Cemetery Rd
Hilliard, OH 43026-1102

Mailing address

4555 Cemetery Rd
Hilliard, OH 43026-1102
Phone (614) 876-4044

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040504000761 OH Part B Supplier - Clinic/Group Practice 8820086366 Receives reassigned benefits from 6 practitioners
Practice locations: Hilliard, OH

National Provider Directory

National Provider Directory

Locations

4555 Cemetery Rd
Hilliard, OH 43026
Phone (614) 219-7479

4625 Cemetery Rd
Hilliard, OH 43026
Phone (614) 876-4044

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205907953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 CEMETERY RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261102",
            "telephone_number": "614-876-4044",
            "fax_number": "614-876-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 CEMETERY RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261102",
            "telephone_number": "614-876-4044",
            "fax_number": "614-876-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACKERSON EYECARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACKERSON",
        "authorized_official_first_name": "LAIRD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "614-876-4044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, 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.
  • 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.