Individual provider Active NPI

Karen Riccio, O.D.

  • Optometrist
  • New Albany, OH
National Provider Identifier
1427050749
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3631 Issued in OH
Practice address
220 Market St Ste C
New Albany, OH 43054-9031
Phone
(614) 855-1122
NPI assigned
Jun 1, 2005
Last updated
Aug 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3631 OH Primary

Addresses

Primary practice location

220 Market St Ste C
New Albany, OH 43054-9031

Mailing address

2683 Berwick Blvd
Columbus, OH 43209-2917
Phone (614) 236-1401

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
I20040505000699 OH Practitioner - Optometry 2769470905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 Market St
Suite C
New Albany, OH 43054-9031
Phone (614) 855-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3631OHMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DWB, Inc Optometrist CurrentSince Jul 18, 2005 Accepting new patients

Locations

1421 Grandview Ave
Grandview, OH 43212
Phone (614) 488-2020

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, 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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1427050749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2683 BERWICK BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092917",
            "telephone_number": "614-236-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MARKET ST STE C",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549031",
            "telephone_number": "614-855-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIO",
        "first_name": "KAREN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

Verify at the official NPI Registry.