Cynthia Joanne Premeaux, O.D,

Primary specialty

OptometristTaxonomy code 152W00000X

License

5816-T2730 Issued in OH

Practice address

6400 E Main St
Suite 101
Reynoldsburg, OH 43068-2359

Phone

(614) 759-9420

Fax

(614) 759-9520

NPI assigned

Aug 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optometric Management Group LLC

  • Optometrist
  • Powell, OH
  • NPI 1265534093
  NPD

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1497902779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 E MAIN ST",
            "address_2": "SUITE 101",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682359",
            "telephone_number": "614-759-9420",
            "fax_number": "614-759-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 E MAIN ST",
            "address_2": "SUITE 101",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682359",
            "telephone_number": "614-759-9420",
            "fax_number": "614-759-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREMEAUX",
        "first_name": "CYNTHIA",
        "middle_name": "JOANNE",
        "credential": "O.D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5816-T2730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3044182",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damodar Poudel, MD
• Goma Poudel
• Skyler Powell
• Practice Management Associates, LLC
• Precision Pest Inspections Inc.
• Premier Pharmaceutical Solutions
• Premise Health of Ohio Medical PA
• Presicecare LLC
• Kalee Price
• Shontaya Laroy Price

• Optometrist in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.