Organization Active NPI

Eye Center of Columbus, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Columbus, OH
National Provider Identifier
1427035591
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
0772AS Issued in OH
Legal business name
EYE CENTER OF COLUMBUS, LLC
Practice address
262 Neil Ave
Ste 500
Columbus, OH 43215-7313
Phone
(614) 827-6600
Fax
(614) 827-6690
NPI assigned
Dec 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Authorized official

Name
N Douglas Baker, M.D.
Title
ASC President
Phone
(614) 827-6600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0772AS OH
Ophthalmologic Surgery Clinic/Center 261QS0132X 0772AS OH Primary

Addresses

Primary practice location

262 Neil Ave
Ste 500
Columbus, OH 43215-7313

Mailing address

PO Box 932112
Cleveland, OH 44193-2112
Phone (614) 827-6600

Other identifiers 1

IdentifierTypeStateIssuer
2627634MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050919000235 OH Part B Supplier - Ambulatory Surgical Center 6305879461 Practice locations: Columbus, OH

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Eye Center of Columbus LLCCCN 36C0001204
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1040179Eye Center of Columbus LLC262 Neil Avenue Suite 500, Columbus, OH 43215Certificate of waiverMay 2, 2027

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1427035591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932112",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441932112",
            "telephone_number": "614-827-6600",
            "fax_number": "614-827-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 NEIL AVE",
            "address_2": "STE 500",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157313",
            "telephone_number": "614-827-6600",
            "fax_number": "614-827-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTER OF COLUMBUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "N",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "ASC PRESIDENT",
        "authorized_official_telephone_number": "614-827-6600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0772AS",
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "OH",
            "license": "0772AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2627634",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.