Individual provider Active NPI

Brittany Ann Morettin, O.D.

  • Optometrist
  • Columbus, OH
National Provider Identifier
1497194849
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6222 Issued in OH
Practice address
4012 Easton Sta
Columbus, OH 43219-6080
Phone
(614) 476-2586
NPI assigned
Jun 19, 2013
Last updated
Jun 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6222 OH Primary

Addresses

Primary practice location

4012 Easton Sta
Columbus, OH 43219-6080

Mailing address

4012 Easton Sta
Columbus, OH 43219-6080
Phone (614) 476-2586

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
I20230710001305 OH Practitioner - Optometry 5597124503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Grace Vision, LLCGroup PAC ID 1658754783, 5 clinicians

Practice addresses (Care Compare)

2314 Taylor Park Dr
Reynoldsburg, OH 43068-8052
Phone (614) 946-8205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6222OHMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Vision, LLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

2314 Taylor Park Dr
Reynoldsburg, OH 43068
Phone (614) 863-0071

Organizations & group practices 1

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1497194849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 EASTON STA",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196080",
            "telephone_number": "614-476-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 EASTON STA",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196080",
            "telephone_number": "614-476-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORETTIN",
        "first_name": "BRITTANY",
        "middle_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.