Individual provider Active NPI

Joseph WM. Babcock, O.D.

  • Optometrist
  • Portsmouth, OH
National Provider Identifier
1306804471
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3520 Issued in OH
Practice address
721 7TH St.
Portsmouth, OH 45662-4031
Phone
(740) 353-2191
Fax
(740) 354-4882
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3520 OH Primary

Addresses

Primary practice location

721 7TH St.
Portsmouth, OH 45662-4031

Mailing address

721 7TH St.
Portsmouth, OH 45662-4031
Phone (740) 353-2191

Other identifiers 1

IdentifierTypeStateIssuer
0474848MedicaidOH

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
I20090304000726 OH Practitioner - Optometry 7113083825 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Portsmouth, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3520OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Babcock Eye Care LLC Optometrist CurrentSince Jun 29, 2023 Accepting new patients

Locations

721 7th St
Portsmouth, OH 45662
Phone (614) 353-2191

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1306804471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 7TH ST.",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624031",
            "telephone_number": "740-353-2191",
            "fax_number": "740-354-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 7TH ST.",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624031",
            "telephone_number": "740-353-2191",
            "fax_number": "740-354-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "JOSEPH",
        "middle_name": "WM.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0474848",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.