Individual provider Active NPI

Katelyn Exline, OD

  • Optometrist
  • Westerville, OH
National Provider Identifier
1245071307
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007282 Issued in OH
Practice address
185 S State St
Westerville, OH 43081-2232
Phone
(614) 898-9989
NPI assigned
Jun 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007282 OH Primary

Addresses

Primary practice location

185 S State St
Westerville, OH 43081-2232

Mailing address

2701 Woodley Rd
Columbus, OH 43231-4837

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
I20240715000423 OH Practitioner - Optometry 9830634880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Visioncare, LLCGroup PAC ID 7911961370, 13 clinicians

Practice addresses (Care Compare)

185 S State St
Westerville, OH 43081-2232
Phone (614) 898-9989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Visioncare LLC Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Professional Visioncare LLC Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Professional Visioncare LLC Optometrist Past Accepting new patients
Professional Visioncare LLC Optometrist Past Accepting new patients

Locations

39 S Main St
Johnstown, OH 43031
Phone (614) 898-9989

7100 Graphics Way
Ste 3200
Lewis Center, OH 43035
Phone (614) 898-9989

185 S State St
Westerville, OH 43081
Phone (614) 898-9989

937 Polaris Woods Blvd
Ste B
Westerville, OH 43082
Phone (614) 898-5285

Organizations & group practices 4

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": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1245071307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 WOODLEY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S STATE ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812232",
            "telephone_number": "614-898-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXLINE",
        "first_name": "KATELYN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.