Individual provider Active NPI

Jocelyn Renee Daniel, OD

  • Optometrist
  • Columbus, OH
National Provider Identifier
1336409879
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6138 T3053 Issued in OH
Practice address
50 McNaughten Rd Ste 200
Columbus, OH 43213-2129
Phone
(614) 863-3937
Fax
(614) 863-5010
NPI assigned
May 17, 2012
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6138 T3053 OH Primary

Addresses

Primary practice location

50 McNaughten Rd Ste 200
Columbus, OH 43213-2129

Mailing address

2209 Walnut Way
Lewis Center, OH 43035-7795
Phone (740) 579-1038

Other identifiers 1

IdentifierTypeStateIssuer
0136106MedicaidOH

Other names 1

  • Jocelyn Renee Laroche 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
I20151015001717 OH Practitioner - Optometry 3870802788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio State UniversityGroup PAC ID 6103866207, 42 clinicians

Practice addresses (Care Compare)

1664 Neil Ave
Columbus, OH 43201-2333
Phone (614) 292-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6138 T3053OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Erdey Searcy Eye Group, Inc CurrentSince Sep 6, 2015 Accepting new patients
Erdey Searcy Eye Group, Inc CurrentSince Sep 6, 2015 Accepting new patients
Ohio State University Optometrist CurrentSince Aug 20, 2019 Accepting new patients
Ohio State University CurrentSince Aug 20, 2019 Accepting new patients

Locations

1664 Neil Ave
Columbus, OH 43201
Phone (614) 292-2020

50 McNaughten Rd
#100
Columbus, OH 43213
Phone (614) 501-0355

50 McNaughten Rd
Ste 200
Columbus, OH 43213
Phone (614) 863-3937

1800 Zollinger Rd
Ste 1500
Upper Arlington, OH 43221
Phone (614) 366-3937

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1336409879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 WALNUT WAY",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357795",
            "telephone_number": "740-579-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MCNAUGHTEN RD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132129",
            "telephone_number": "614-863-3937",
            "fax_number": "614-863-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "JOCELYN",
        "middle_name": "RENEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6138 T3053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136106",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOCELYN",
            "last_name": "LAROCHE",
            "middle_name": "RENEE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.