Individual provider Active NPI

Emily N Self, OD

  • Optometrist
  • Johnstown, OH
National Provider Identifier
1245721232
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006659 Issued in OH
Practice address
703 W Coshocton St
Johnstown, OH 43031-9581
Phone
(937) 243-7720
NPI assigned
May 24, 2018
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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.006659 OH Primary

Addresses

Primary practice location

703 W Coshocton St
Johnstown, OH 43031-9581

Mailing address

5061 Ederton PL
New Albany, OH 43054-9460
Phone (937) 243-7720

Other names 1

  • Emily Rausch Former name

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
I20190628002828 OH Practitioner - Optometry 6103150875 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

703 W Coshocton St
Johnstown, OH 43031-9581
Phone (740) 817-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Management Group LLC Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Emily Rausch OD LLC Optometrist CurrentSince Nov 1, 2025 Accepting new patients
Pickerington Eyecare Optometrist CurrentSince Jun 17, 2019 Accepting new patients
Galloway Eye Care Professionals, Inc. Optometrist Past Accepting new patients

Locations

703 W Coshocton St
Johnstown, OH 43031
Phone (740) 817-9200

141 Clint Dr
Pickerington, OH 43147
Phone (614) 575-0111

265 N Liberty St
Powell, OH 43065
Phone (614) 793-0700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1245721232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5061 EDERTON PL",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549460",
            "telephone_number": "937-243-7720",
            "fax_number": "740-817-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 W COSHOCTON ST",
            "city": "JOHNSTOWN",
            "state": "OH",
            "postal_code": "430319581",
            "telephone_number": "937-243-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "EMILY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "RAUSCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnstown, OH

Sources for this page

Verify at the official NPI Registry.