Katherine Scullion, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.6408 Issued in OH

Practice address

6472 Winchester Blvd
Canal Winchester, OH 43110-2004

Phone

(614) 837-9595

NPI assigned

Jul 14, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverside Eye Center LLCGroup PAC ID 1759638059, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drscullion@wvc.direct.eyemdemr.com

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.

• Riverside Eye Center LLC

  • Optometrist
  • Upper Arlington, OH
  • NPI 1326530833
  Medicare reassignment Care Compare group NPD
• Eisel Vision Clinic LLC

  • Optometrist
  • Lisbon, OH
  • NPI 1447964226
  NPD

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1306220892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W LINCOLN WAY",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444321103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6472 WINCHESTER BLVD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431102004",
            "telephone_number": "614-837-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Upper Arlington",
            "state": "OH",
            "postal_code": "432211743",
            "country_code": "US",
            "telephone_number": "614-273-0393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCULLION",
        "first_name": "KATHERINE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.6408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul J Schorr, P.A.-C
• Andrew Schwall, PA
• Kiara Shaunte' Scofield, LPN
• Rico A Scott
• Stacy L Scudder
• Wayne Sears Smith
• Lyanna Eva Seesholtz, LD,RD
• Hannah Seevers
• Traci Lea Selby, LPN
• Natasha Marie Shaffer, COTA/L OTA 007997

• Optometrist in Canal Winchester, OH
• Providers in Canal Winchester, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.