Individual provider Active NPI

Abigail Glenna Menner, O.D., F.A.A.O.

  • Optometrist
  • Columbus, OH
National Provider Identifier
1508248329
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6376 Issued in OH
Practice address
338 W 10TH Ave
Columbus, OH 43210-1280
Phone
(614) 292-2020
NPI assigned
Jun 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6376 OH Primary

Addresses

Primary practice location

338 W 10TH Ave
Columbus, OH 43210-1280

Mailing address

338 W 10TH Ave
Columbus, OH 43210-1280
Phone (614) 292-2020

Other names 1

  • Dr. Abigail Glenna Graeff Former name

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
I20160920001742 OH Practitioner - Optometry 3173810041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio State UniversityGroup PAC ID 6103866207, 42 clinicians

Practice addresses (Care Compare)

1664 Neil Ave
Columbus, OH 43201-2333
Phone (614) 292-2020

730 Mount Airyshire Blvd
Suite a
Columbus, OH 43235-1364
Phone (614) 846-7574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Professionals Optometrist CurrentSince Aug 29, 2016 Accepting new patients
Ohio State University Optometrist CurrentSince Dec 9, 2019 Accepting new patients
Vision Professionals Optometrist CurrentSince Aug 29, 2016 Accepting new patients
Ohio State University CurrentSince Dec 9, 2019 Accepting new patients
Chris a. Smiley, O.D. and Associates, LLC Optometrist Past Accepting new patients

Locations

338 W 10th Ave
Columbus, OH 43210
Phone (614) 292-2020

1664 Neil Ave
Columbus, OH 43201
Phone (614) 292-2020

730 Mount Airyshire Blvd
Ste A
Columbus, OH 43235
Phone (614) 846-7574

25 Northwood Dr
Delaware, OH 43015
Phone (740) 369-7701

5121 Forest Dr
Ste B
New Albany, OH 43054
Phone (614) 855-7574

690 W Cherry St
Sunbury, OH 43074
Phone (740) 965-4671

1800 Zollinger Rd
Ste 1500
Upper Arlington, OH 43221
Phone (614) 366-3937

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1508248329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101280",
            "telephone_number": "614-292-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101280",
            "telephone_number": "614-292-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNER",
        "first_name": "ABIGAIL",
        "middle_name": "GLENNA",
        "name_prefix": "Dr.",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "GRAEFF",
            "middle_name": "GLENNA",
            "prefix": "DR.",
            "credential": "O.D., F.A.A.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.