Individual provider Active NPI

Alan Joseph Patterson, OD

  • Optometrist
  • Zanesville, OH
National Provider Identifier
1457344087
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5236 Issued in OH
Practice address
1024 Military Rd
Zanesville, OH 43701-1343
Phone
(740) 452-4581
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5236 OH Primary

Addresses

Primary practice location

1024 Military Rd
Zanesville, OH 43701-1343

Mailing address

1024 Military Rd
Zanesville, OH 43701-1343
Phone (740) 452-4581

Other identifiers 1

IdentifierTypeStateIssuer
2266800MedicaidOH

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
I20040116000668 OH Practitioner - Optometry 6507767142 Reassigns benefits to 1 organization
Receives reassigned benefits from 2 practitioners
Practice locations: Zanesville, OH

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coshocton Vision LLCGroup PAC ID 2769638253, 2 clinicians

Practice addresses (Care Compare)

1024 Military Rd
Zanesville, OH 43701-1343
Phone (740) 452-4581

618 S 2ND St
Coshocton, OH 43812-1909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5236OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Coshocton Vision LLC Optometrist CurrentSince Jun 26, 2012 Accepting new patients
Wal-Mart Stores East LP Past Accepting new patients
Wal-Mart Stores East, LP Past Accepting new patients

Locations

618 S 2nd St
Coshocton, OH 43812
Phone (740) 623-0110

Practitioners & affiliated clinicians

Practitioners 2

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1457344087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 MILITARY RD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011343",
            "telephone_number": "740-452-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 MILITARY RD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011343",
            "telephone_number": "740-452-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "ALAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2266800",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.