Individual provider Active NPI

Nadine Miranda Breslow, O.D.

  • Optometrist
  • Columbus, OH
National Provider Identifier
1376830463
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6019 Issued in OH
Practice address
6500 Sawmill Rd
Columbus, OH 43235-4942
Phone
(614) 734-2685
NPI assigned
Jul 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6019 OH Primary

Addresses

Primary practice location

6500 Sawmill Rd
Columbus, OH 43235-4942

Mailing address

6500 Sawmill Rd
Columbus, OH 43235-4942
Phone (614) 734-2685

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
I20120404000912 OH Practitioner - Optometry 8426218199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breslow Eye Care LLCGroup PAC ID 9234277757, 2 clinicians

Practice addresses (Care Compare)

3794 Old Columbus Rd NW
Carroll, OH 43112-9673
Phone (740) 756-7700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6019OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Breslow Eye Care LLC Optometrist CurrentSince Nov 1, 2011 Accepting new patients
Mikhail Petrov,O.D.,Inc. Optometrist Past Accepting new patients

Locations

3794 Old Columbus Rd NW
Carroll, OH 43112
Phone (614) 235-9393

2354 E Main St
Columbus, OH 43209
Phone (614) 235-9393

2358 E Main St
Columbus, OH 43209
Phone (614) 235-9393

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": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1376830463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 SAWMILL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354942",
            "telephone_number": "614-734-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 SAWMILL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354942",
            "telephone_number": "614-734-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESLOW",
        "first_name": "NADINE",
        "middle_name": "MIRANDA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.