Individual provider Active NPI

Patrick Allan Janson, OD

  • Optometrist
  • Columbus, OH
National Provider Identifier
1366415663
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4651 Issued in OH
Practice address
50 McNaughten Rd
Ste 200
Columbus, OH 43213-2120
Phone
(614) 863-3937
Fax
(614) 863-5010
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4651 OH Primary
Optometrist 152W00000X T1426 OH

Addresses

Primary practice location

50 McNaughten Rd
Ste 200
Columbus, OH 43213-2120

Mailing address

PO Box 267119
Columbus, OH 43226-7119
Phone (614) 864-0641

Other identifiers 2

IdentifierTypeStateIssuer
000000036349OtherOHANTHEM
2337626MedicaidOH

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
I20051025000121 OH Practitioner - Optometry 4587681028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erdey Searcy Eye Group IncGroup PAC ID 4284537762, 8 clinicians

Practice addresses (Care Compare)

50 McNaughten Rd
Columbus, OH 43213-2120
Phone (614) 863-3937

50 McNaughten Rd
Suite 200
Columbus, OH 43213-2129
Phone (614) 863-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4651OHMDOptometrist
T1426OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Erdey Searcy Eye Group, Inc CurrentSince Jun 1, 2002 Accepting new patients
Erdey Searcy Eye Group, Inc CurrentSince Jun 1, 2002 Accepting new patients

Locations

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

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: patrick.janson.1@17598.direct.athenahealth.com
  • Direct secure messaging: patrick.janson.p1@direct.icanseeclearly.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1366415663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267119",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432267119",
            "telephone_number": "614-864-0641",
            "fax_number": "614-864-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MCNAUGHTEN RD",
            "address_2": "STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132120",
            "telephone_number": "614-863-3937",
            "fax_number": "614-863-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSON",
        "first_name": "PATRICK",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4651",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T1426",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000036349",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2337626",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.