Individual provider Active NPI

Erin Beach Hudson

  • Optometrist
  • Columbus, OH
National Provider Identifier
1477400869
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007492 Issued in OH
Practice address
5965 E Broad St
Columbus, OH 43213-1562
Phone
(614) 751-4070
NPI assigned
Mar 13, 2026
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007492 OH Primary

Addresses

Primary practice location

5965 E Broad St
Columbus, OH 43213-1562

Mailing address

524 Graves Rd
Conway, MA 01341-9784

Other practice location 1

5155 Bradenton Ave Ste 200
Dublin, OH 43017-7560
Phone (614) 820-8683

Other practice location 2

5965 E Broad St
Columbus, OH 43213-1562
Phone (614) 820-8683

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
I20260618003659 OH Practitioner - Optometry 1557833688

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

525 Graves Rd
Conway, MA 01341-9754

PO Box
Dallas, TX 75320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.007492OHMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1773360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1477400869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 GRAVES RD",
            "city": "CONWAY",
            "state": "MA",
            "postal_code": "013419784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131562",
            "telephone_number": "614-751-4070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5155 Bradenton Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430177560",
            "country_code": "US",
            "telephone_number": "614-820-8683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5965 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131562",
            "country_code": "US",
            "telephone_number": "614-820-8683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "ERIN",
        "middle_name": "BEACH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.