Organization Active NPI

Grove City Eye Associates, LLC

  • Optometrist
  • Grove City, OH
National Provider Identifier
1558591982
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5893 Issued in OH
Legal business name
GROVE CITY EYE ASSOCIATES, LLC
Practice address
1770 Stringtown Rd
Grove City, OH 43123-9049
Phone
(614) 801-9193
Fax
(614) 801-9281
NPI assigned
Jul 20, 2009
Last updated
May 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Dr. Kristin S Middlesworth, O.D.NPI 1013147446
Title
Optometrist
Phone
(614) 801-9193

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
Optometrist 152W00000X 5893 OH Primary

Addresses

Primary practice location

1770 Stringtown Rd
Grove City, OH 43123-9049

Mailing address

1770 Stringtown Rd
Grove City, OH 43123-9049
Phone (614) 801-9193

Other identifiers 1

IdentifierTypeStateIssuer
3004313MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090908000693 OH Part B Supplier - Clinic/Group Practice 2769537133 Receives reassigned benefits from 4 practitioners
Practice locations: Grove City, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1558591982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 STRINGTOWN RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239049",
            "telephone_number": "614-801-9193",
            "fax_number": "614-801-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 STRINGTOWN RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239049",
            "telephone_number": "614-801-9193",
            "fax_number": "614-801-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE CITY EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "MIDDLESWORTH",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "614-801-9193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004313",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.