Organization Active NPI

Gahanna Eyecare Associates LLC

  • Optometrist
  • Gahanna, OH
National Provider Identifier
1295717080
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GAHANNA EYECARE ASSOCIATES LLC
Practice address
120 N Hamilton Rd
Gahanna, OH 43230-2602
Phone
(614) 475-8134
Fax
(614) 475-8326
NPI assigned
Nov 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Dr. Paul E Dennis, O.D.NPI 1568444354
Title
Owner
Phone
(614) 475-8134

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 Primary

Addresses

Primary practice location

120 N Hamilton Rd
Gahanna, OH 43230-2602

Mailing address

120 N Hamilton Rd
Gahanna, OH 43230-2602
Phone (614) 475-8134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050924000298 OH Part B Supplier - Clinic/Group Practice 9234163601 Receives reassigned benefits from 1 practitioner
Practice locations: Gahanna, OH

National Provider Directory

National Provider Directory

Locations

120 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 475-8134

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1295717080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302602",
            "telephone_number": "614-475-8134",
            "fax_number": "614-475-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302602",
            "telephone_number": "614-475-8134",
            "fax_number": "614-475-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAHANNA EYECARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-475-8134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.