NPIMap

Organization Active NPI

Smallwood Eye Associates, LLC

  • Optometrist
  • Gahanna, OH
National Provider Identifier
1487430914
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SMALLWOOD EYE ASSOCIATES, LLC
Practice address
78 Mill St
Gahanna, OH 43230-3012
Phone
(614) 337-1015
Fax
(614) 337-1029
NPI assigned
Aug 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Dr. Edmund Connor Smallwood, ODNPI 1770148710
Title
Owner
Phone
(614) 557-6774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

78 Mill St
Gahanna, OH 43230-3012

Mailing address

78 Mill St
Gahanna, OH 43230-3012
Phone (614) 337-1015

National Provider Directory

National Provider Directory

Locations

78 Mill St
Gahanna, OH 43230
Phone (614) 337-1015

Practitioners & affiliated clinicians

Practitioners 3

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": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1487430914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 MILL ST",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303012",
            "telephone_number": "614-337-1015",
            "fax_number": "614-337-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MILL ST",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303012",
            "telephone_number": "614-337-1015",
            "fax_number": "614-337-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALLWOOD EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "SMALLWOOD",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "CONNOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-557-6774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.