NPIMap

Organization Active NPI

Michelle L. Veneziano, O.D. Inc.

  • Optometrist
  • Columbus, OH
National Provider Identifier
1528123403
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5344 Issued in OH
Legal business name
MICHELLE L. VENEZIANO, O.D. INC.
Practice address
3045 Noe Bixby Rd
Columbus, OH 43232-5851
Phone
(614) 837-3797
Fax
(614) 837-9494
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Dr. Michelle L Veneziano, O.D.NPI 1104904481
Title
Optometrist
Phone
(614) 837-3797

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5344 OH Primary
Eyewear Supplier 332H00000X 25-299822 OH

Addresses

Primary practice location

3045 Noe Bixby Rd
Columbus, OH 43232-5851

Mailing address

3045 Noe Bixby Rd
Columbus, OH 43232-5851
Phone (614) 837-3797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051208000598 OH Part B Supplier - Clinic/Group Practice 1456372291 Receives reassigned benefits from 4 practitioners
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

3045 Noe Bixby Rd
Columbus, OH 43232
Phone (614) 837-3797

3025 Noe Bixby Rd
Columbus, OH 43232
Phone (614) 837-3797

Practitioners & affiliated clinicians

Practitioners 4

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": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1528123403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 NOE BIXBY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432325851",
            "telephone_number": "614-837-3797",
            "fax_number": "614-837-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 NOE BIXBY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432325851",
            "telephone_number": "614-837-3797",
            "fax_number": "614-837-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE L. VENEZIANO, O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "VENEZIANO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "614-837-3797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5344",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "25-299822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.