Individual provider Active NPI

Amy Lay, O.D.

  • Optometrist
  • Westerville, OH
National Provider Identifier
1427174606
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4470-T1126 Issued in OH
Practice address
185 S State St
Westerville, OH 43081-2232
Phone
(614) 898-9989
Fax
(614) 898-3054
NPI assigned
Mar 21, 2007
Last updated
Jan 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4470-T1126 OH Primary

Addresses

Primary practice location

185 S State St
Westerville, OH 43081-2232

Mailing address

185 S State St
Westerville, OH 43081-2232
Phone (614) 898-9989

Other identifiers 1

IdentifierTypeStateIssuer
0982852MedicaidOH

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
I20041118000045 OH Practitioner - Optometry 8123082203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4470-T1126OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Visioncare LLC Optometrist Current Accepting new patients
Professional Visioncare LLC Optometrist CurrentSince Nov 17, 1994 Accepting new patients
Professional Visioncare LLC Optometrist CurrentSince Nov 17, 1994 Accepting new patients

Locations

39 S Main St
Johnstown, OH 43031
Phone (614) 898-9989

703 W Coshocton St
Johnstown, OH 43031
Phone (740) 817-9200

7100 Graphics Way
Ste 3200
Lewis Center, OH 43035
Phone (614) 898-9989

185 S State St
Westerville, OH 43081
Phone (614) 898-9989

937 Polaris Woods Blvd
Ste B
Westerville, OH 43082
Phone (614) 898-5285

Organizations & group practices 3

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1427174606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 S STATE ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812232",
            "telephone_number": "614-898-9989",
            "fax_number": "614-898-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S STATE ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812232",
            "telephone_number": "614-898-9989",
            "fax_number": "614-898-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAY",
        "first_name": "AMY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4470-T1126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0982852",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.