Individual provider Active NPI

John R Gwin, OD

  • Optometrist
  • Columbus, OH
National Provider Identifier
1568542173
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5311-T2220 Issued in OH
Practice address
5180 E Main St
Suite F
Columbus, OH 43213-2436
Phone
(614) 866-9002
Fax
(614) 866-3581
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5311-T2220 OH Primary

Addresses

Primary practice location

5180 E Main St
Suite F
Columbus, OH 43213-2436

Mailing address

160 N Township Rd
Pataskala, OH 43062-9192
Phone (740) 501-5577

Other identifiers 1

IdentifierTypeStateIssuer
2373828MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040310000347 OH Practitioner - Optometry 1254229206 Reassigns benefits to 2 organizations
I20100326000450 WV Practitioner - Optometry 1254229206 Reassigns benefits to 1 organization
Practice locations: Glenville, WV

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feltz Optometry of West Virginia PLLCGroup PAC ID 4981981172, 5 clinicians
Optometric Management Group LLCGroup PAC ID 7517034291, 43 clinicians
Mobile Medical IncGroup PAC ID 5890765481, 80 clinicians

Practice addresses (Care Compare)

209 W Washington St
Charleston, WV 25302-2348
Phone (248) 528-1981

265 N Liberty St
Powell, OH 43065-8870
Phone (614) 793-0700

3255 Levis Commons Blvd
Perrysburg, OH 43551-7145
Phone (419) 874-0393

Merit-based Incentive Payment System (MIPS)

Final score
52.37 of 100Reported as group
Quality
84.74
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5311-T2220OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Feltz Optometry of West Virginia PLLC Optometrist CurrentSince May 19, 2018 Accepting new patients
Mobile Medical Inc Optometrist CurrentSince Jul 12, 2016 Accepting new patients
Mobile Medical, Inc. CurrentSince Jul 12, 2016 Accepting new patients
Optometric Management Group LLC Optometrist CurrentSince Feb 4, 2024 Accepting new patients
Mark D Henry OD Inc Optometrist PastSince Sep 20, 1997 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

1200 Kirts Blvd
Ste 200
Troy, MI 48084
Phone 24852819814031

3039 Madison Rd
Cincinnati, OH 45209
Phone (513) 651-4005

5823 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 741-8811

1500 Polaris Pkwy
Columbus, OH 43240
Phone (614) 885-3937

1450 Olentangy River Rd
Ste 1437
Columbus, OH 43212

5180 E Main St
Columbus, OH 43213
Phone (614) 866-9002

5180 E Main St
Ste F
Columbus, OH 43213
Phone (614) 866-9002

2440 Wilmington Pike
Dayton, OH 45419
Phone (614) 793-0700

951 E Johnstown Rd
Gahanna, OH 43230
Phone (614) 476-2015

3636 Broadway
Grove City, OH 43123
Phone (614) 871-3234

340 Alexandersville Rd
Miamisburg, OH 45342
Phone (937) 866-3471

315 N Breiel Blvd
Middletown, OH 45042
Phone (513) 424-0339

142 W Water St
Ste L
Oak Harbor, OH 43449
Phone (419) 898-1918

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

141 Clint Dr
Pickerington, OH 43147
Phone (614) 575-0111

265 N Liberty St
Unit C
Powell, OH 43065

265 N Liberty St
Powell, OH 43065
Phone (614) 793-0700

22 Remick Blvd
Springboro, OH 45066
Phone (937) 748-2720

1018 Cheyenne Ave
Springfield, OH 45503
Phone (937) 399-0282

107 Plaza Dr
St Clairsvle, OH 43950
Phone (740) 526-0204

1861 Towne Park Dr
Troy, OH 45373
Phone (937) 339-7956

226 W Court St
Washington Court House, OH 43160
Phone (740) 335-2020

102 N Keel Ridge Rd
Hermitage, PA 16148
Phone (724) 347-0591

209 Washington St W
Charleston, WV 25302
Phone 24852821166

Interoperability endpoints

  • Direct secure messaging: john.gwin.d1.p17@direct.360care.nextgenshare.com
  • Direct secure messaging: john.gwin.p19@direct.360care.nextgenshare.com

Organizations & group practices 6

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1568542173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N TOWNSHIP RD",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430629192",
            "telephone_number": "740-501-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 E MAIN ST",
            "address_2": "SUITE F",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132436",
            "telephone_number": "614-866-9002",
            "fax_number": "614-866-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWIN",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5311-T2220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2373828",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.