Individual provider Active NPI

Kathryn L Simonovich, O.D.

  • Optometrist
  • Columbus, OH
National Provider Identifier
1215244900
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5941 Issued in OH
Practice address
180 Northwoods Blvd
Columbus, OH 43235-4400
Phone
(614) 739-0660
Fax
(614) 739-0661
NPI assigned
Sep 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5941 OH Primary

Addresses

Primary practice location

180 Northwoods Blvd
Columbus, OH 43235-4400

Mailing address

67 West St
Medfield, MA 02052-1577
Phone (508) 359-9969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140204000863 OH Practitioner - Optometry 5496984932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horvath Vision Care-Northwoods IncGroup PAC ID 6800284381, 6 clinicians

Practice addresses (Care Compare)

180 Northwoods Blvd
Columbus, OH 43235-4400
Phone (614) 880-9196

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Horvath Vision Care - Northwoods Inc Optometrist CurrentSince Nov 1, 2021 Accepting new patients

Locations

180 Northwoods Blvd
Columbus, OH 43235
Phone (614) 739-0660

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1215244900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 WEST ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020521577",
            "telephone_number": "508-359-9969",
            "fax_number": "508-359-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NORTHWOODS BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354400",
            "telephone_number": "614-739-0660",
            "fax_number": "614-739-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONOVICH",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.