NPIMap

Individual provider Active NPI

Bethany M Bloemhard, O.D.

  • Optometrist
  • Urbana, OH
National Provider Identifier
1457700882
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6442 Issued in OH
Practice address
303 N Main St
Urbana, OH 43078-1605
Phone
(937) 653-5228
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6442 OH Primary

Addresses

Primary practice location

303 N Main St
Urbana, OH 43078-1605

Mailing address

569 S Main St
Urbana, OH 43078-2427
Phone (937) 925-5426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160802003324 OH Practitioner - Optometry 5890089676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey L Morer OD PC 50 clinicians

Practice addresses (Care Compare)

142 University Dr
Chillicothe, OH 45601-2198
Phone (888) 964-6681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey L. Morer, OD, PC Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Optometric Management Group LLC Optometrist Past Accepting new patients
Fries Eye Care, LLC Optometrist Past Accepting new patients

Locations

655 Metro Pl S
Ste 600
Dublin, OH 43017
Phone (614) 323-3578

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1457700882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 S MAIN ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782427",
            "telephone_number": "937-925-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N MAIN ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430781605",
            "telephone_number": "937-653-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOEMHARD",
        "first_name": "BETHANY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, OH

Sources for this page

Verify at the official NPI Registry.