Individual provider Active NPI

Katherine Marie Merry, OD

  • Optometrist
  • New Albany, OH
National Provider Identifier
1356915268
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006958 Issued in OH
Practice address
5121 Forest Dr Ste B
New Albany, OH 43054-7086
Phone
(614) 855-7574
NPI assigned
May 14, 2021
Last updated
May 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006958 OH Primary

Addresses

Primary practice location

5121 Forest Dr Ste B
New Albany, OH 43054-7086

Mailing address

236 Turnstone Rd
Columbus, OH 43235-5623
Phone (614) 286-8486

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
I20210608003443 OH Practitioner - Optometry 4284034521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

690 W Cherry St
Sunbury, OH 43074-8556
Phone (740) 965-4671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.006958OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Professionals Delaware LLC Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Vision Professionals Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Vision Professionals Optometrist Current Accepting new patients
Vision Professionals Optometrist Past Accepting new patients
Dr David a. Niederkohr Inc. Optometrist PastSince Jun 1, 2021 Accepting new patients
Chris a. Smiley, O.D. and Associates, LLC Optometrist Past Accepting new patients

Locations

730 Mount Airyshire Blvd
Columbus, OH 43235
Phone (614) 880-2020

730 Mount Airyshire Blvd
Ste A
Columbus, OH 43235
Phone (614) 846-7574

25 Northwood Dr
Delaware, OH 43015
Phone (740) 369-7701

3814 Broadway
Grove City, OH 43123
Phone (614) 766-2006

5121 Forest Dr
Ste B
New Albany, OH 43054
Phone (614) 855-7574

690 W Cherry St
Sunbury, OH 43074
Phone (740) 965-4301

Organizations & group practices 6

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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1356915268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 TURNSTONE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355623",
            "telephone_number": "614-286-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 FOREST DR STE B",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547086",
            "telephone_number": "614-855-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRY",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

Verify at the official NPI Registry.