Active NPI
Katy M Craft, O.D.
- Optometrist
- Marietta, OH
National Provider Identifier
1427098078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5617
- Practice address
- 210 N 7TH St
Suite 200
Marietta, OH 45750-2244 - Phone
- (740) 376-5590
- Fax
- (740) 376-5591
- NPI assigned
- Jun 8, 2006
- Last updated
- Oct 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5617 | OH | Primary |
Addresses
Primary practice location
210 N 7TH St
Suite 200
Marietta, OH 45750-2244
Mailing address
PO Box 449
Marietta, OH 45750-0449
Phone (740) 374-4500
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01692640 | Other | OH | RAILROAD MEDICARE - MHCPI |
| 2912987 | Medicaid | OH | |
| 77901999 | Medicaid | OH | |
| 7100058270 | Medicaid | KY | |
| 77901981 | Medicaid | OH | |
| 77902757 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1728 | KY | MD | Counselor |
| 5617 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley J Harnish MD | Optometrist | Past | Accepting new patients |
| Clear Choice Audiology, LLC | Past | Accepting new patients |
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.
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Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1427098078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 449",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457500449",
"telephone_number": "740-374-4500",
"fax_number": "740-374-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N 7TH ST",
"address_2": "SUITE 200",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457502244",
"telephone_number": "740-376-5590",
"fax_number": "740-376-5591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAFT",
"first_name": "KATY",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE - MHCPI",
"identifier": "P01692640",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2912987",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77901999",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100058270",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77901981",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77902757",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.