Individual provider Active NPI

John F Fanning, O.D.

  • Optometrist
  • Dublin, OH
National Provider Identifier
1245378967
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH 3707 Issued in OH
Practice address
6105 Memorial Dr
Dublin, OH 43017-9000
Phone
(614) 793-8440
Fax
(614) 793-8383
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OH 3707 OH Primary

Addresses

Primary practice location

6105 Memorial Dr
Dublin, OH 43017-9000

Mailing address

6105 Memorial Dr
Dublin, OH 43017-9000
Phone (614) 793-8440

Other identifiers 5

IdentifierTypeStateIssuer
23837OtherOHSPECTERA
000000119325OtherOHANTHEM BLUE CROSS
2200157OtherOHUNITED HEALTHCARE
0809637OtherOHAETNA
OH-3707OtherOHEYEMED

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
I20031121000083 OH Practitioner - Optometry 2163336926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muirfield Eye Care Center IncGroup PAC ID 1850205600, 3 clinicians

Practice addresses (Care Compare)

6105 Memorial Dr
Dublin, OH 43017-9000
Phone (614) 793-8440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OH 3707OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Muirfield Eye Care Center, Inc. Optometrist CurrentSince Oct 1, 1987 Accepting new patients

Locations

6105 Memorial Dr
Dublin, OH 43017
Phone (614) 793-8440

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1245378967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 MEMORIAL DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430179000",
            "telephone_number": "614-793-8440",
            "fax_number": "614-793-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 MEMORIAL DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430179000",
            "telephone_number": "614-793-8440",
            "fax_number": "614-793-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH 3707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "23837",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000119325",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2200157",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0809637",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OH-3707",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.