Organization Active NPI

Babcock Eye Care LLC

  • Optometrist
  • Portsmouth, OH
National Provider Identifier
1326732579
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BABCOCK EYE CARE LLC
Practice address
721 7TH St
Portsmouth, OH 45662-4018
Phone
(740) 353-2191
Fax
(740) 354-4882
NPI assigned
Jun 8, 2023
Last updated
Nov 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Kelly Babcock
Title
Practice Manager
Phone
(740) 353-2191

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

721 7TH St
Portsmouth, OH 45662-4018

Mailing address

721 7TH St
Portsmouth, OH 45662-4018
Phone (740) 353-2191

Other identifiers 1

IdentifierTypeStateIssuer
0020105MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230718003049 OH Part B Supplier - Clinic/Group Practice 8729448006 Receives reassigned benefits from 3 practitioners
Practice locations: Portsmouth, OH

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1326732579",
    "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": "456624018",
            "telephone_number": "740-353-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 7TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624018",
            "telephone_number": "740-353-2191",
            "fax_number": "740-354-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABCOCK EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "740-353-2191"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020105",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.