Individual provider Active NPI

Caitlin Hastilow, OD

  • Optometrist
  • Westerville, OH
National Provider Identifier
1346727203
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006681 Issued in OH
Practice address
605 Brockhampton LN Unit 204
Westerville, OH 43082-7560
Phone
(614) 506-6188
NPI assigned
Jul 24, 2018
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 006681 OH Primary

Addresses

Primary practice location

605 Brockhampton LN Unit 204
Westerville, OH 43082-7560

Mailing address

605 Brockhampton LN Unit 204
Westerville, OH 43082-7560
Phone (614) 506-6188

Other names 1

  • Caitlin Harsany 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
I20190301001823 OH Practitioner - Optometry 5890034201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shamrock Family Eye Care IncGroup PAC ID 5991738254, 7 clinicians

Practice addresses (Care Compare)

5151 Post Rd
Dublin, OH 43017-1245
Phone (614) 889-8331

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006681OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shamrock Family Eye Care Inc Optometrist CurrentSince Jan 9, 2019 Accepting new patients

Locations

5151 Post Rd
Dublin, OH 43017
Phone (614) 889-8331

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, 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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1346727203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 BROCKHAMPTON LN UNIT 204",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827560",
            "telephone_number": "614-506-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 BROCKHAMPTON LN UNIT 204",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827560",
            "telephone_number": "614-506-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTILOW",
        "first_name": "CAITLIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "006681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "HARSANY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.