Active NPI
Kimberly N Stuckey Eye Care LLC
- Optometrist
- Groveport, OH
National Provider Identifier
1346665551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5682
- Legal business name
- KIMBERLY N STUCKEY EYE CARE LLC
- Practice address
- 5335 Hendron Rd
Groveport, OH 43125-1055 - Phone
- (614) 836-9669
- Fax
- (614) 836-9703
- NPI assigned
- Feb 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kimberly Nguyen Stuckey, OD
- Title
- Optometrist/Owner
- Phone
- (614) 836-9669
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5682 | OH | Primary |
Addresses
Primary practice location
5335 Hendron Rd
Groveport, OH 43125-1055
Mailing address
5335 Hendron Rd
Groveport, OH 43125-1055
Phone (614) 836-9669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0073144 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Groveport Eye Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Groveport, OH
- NPI 1912310087
Locations
337 Main St
#B
Groveport, OH 43125
Phone (614) 836-9669
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Groveport, OH
- NPI 1558498543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393286400000",
"number": "1346665551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5335 HENDRON RD",
"city": "GROVEPORT",
"state": "OH",
"postal_code": "431251055",
"telephone_number": "614-836-9669",
"fax_number": "614-836-9703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5335 HENDRON RD",
"city": "GROVEPORT",
"state": "OH",
"postal_code": "431251055",
"telephone_number": "614-836-9669",
"fax_number": "614-836-9703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIMBERLY N STUCKEY EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-25",
"last_updated": "2014-02-25",
"status": "A",
"authorized_official_last_name": "STUCKEY",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "NGUYEN",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "614-836-9669",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OH",
"license": "5682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0073144",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Groveport, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.