Active NPI
Olentangy Eye and Laser Associates, Inc.
- Ophthalmology Physician
- Columbus, OH
National Provider Identifier
1568412955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- OLENTANGY EYE AND LASER ASSOCIATES, INC.
- Practice address
- 3794 Olentangy River Rd.
Columbus, OH 43214-3455 - Phone
- (614) 267-4122
- Fax
- (614) 267-4242
- NPI assigned
- May 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Debbie Riegel
- Title
- Practice Manager
- Phone
- (614) 267-4122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | OH | Primary |
Addresses
Primary practice location
3794 Olentangy River Rd.
Columbus, OH 43214-3455
Mailing address
3794 Olentangy River Rd.
Columbus, OH 43214-3455
Phone (614) 267-4122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2048573 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3794 Olentangy River Rd
Columbus, OH 43214
Phone (614) 267-4122
3525 Olentangy River Rd
Ste 5310
Columbus, OH 43214
Phone (614) 261-0073
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Columbus, OH
- NPI 1821084096
-
- Ophthalmology Physician
- Upper Arlington, OH
- NPI 1427044072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453852800000",
"number": "1568412955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3794 OLENTANGY RIVER RD.",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143455",
"telephone_number": "614-267-4122",
"fax_number": "614-267-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3794 OLENTANGY RIVER RD.",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143455",
"telephone_number": "614-267-4122",
"fax_number": "614-267-4242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLENTANGY EYE AND LASER ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-10",
"last_updated": "2016-01-27",
"status": "A",
"authorized_official_last_name": "RIEGEL",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "614-267-4122",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2048573",
"state": "OH"
}
],
"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 27, 2016; 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.