NPIMap

Organization Active NPI

Mid Ohio Ophthalmic Consultants, LTD

  • Ophthalmology Physician
  • Columbus, OH
National Provider Identifier
1427129352
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MID OHIO OPHTHALMIC CONSULTANTS, LTD
Practice address
4830 Knightsbridge Blvd Ste G
Columbus, OH 43214-2300
Phone
(614) 488-0000
Fax
(614) 488-8610
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Dr. Louise Anne Doyle, D.O.
Title
Member/Physician
Phone
(614) 488-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

4830 Knightsbridge Blvd Ste G
Columbus, OH 43214-2300

Mailing address

4830 Knightsbridge Blvd Ste G
Columbus, OH 43214-2300
Phone (614) 488-0000

Other identifiers 1

IdentifierTypeStateIssuer
2036200MedicaidOH

Other names 1

  • Mid Ohio Eye Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050925000059 OH Part B Supplier - Clinic/Group Practice 8022042415 Receives reassigned benefits from 5 practitioners
Practice locations: Columbus, OH
O20100930064900 OH DME Supplier - Physician - OptometristDME Supplier - Optician 8022042415 Practice locations: Columbus, OH

National Provider Directory

National Provider Directory
Tax ID family
Mid Ohio Ophthalmic Consultants LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5150 E Dublin Granville Rd
#100
Westerville, OH 43081
Phone (614) 939-1600

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1427129352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 KNIGHTSBRIDGE BLVD STE G",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142300",
            "telephone_number": "614-488-0000",
            "fax_number": "614-488-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 KNIGHTSBRIDGE BLVD STE G",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142300",
            "telephone_number": "614-488-0000",
            "fax_number": "614-488-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID OHIO OPHTHALMIC CONSULTANTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MEMBER/PHYSICIAN",
        "authorized_official_telephone_number": "614-488-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2036200",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Ohio Eye",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid Ohio Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.