Organization Active NPI

Northwest Ophthalmology Center, Inc.

  • Ophthalmology Physician
  • Hilliard, OH
National Provider Identifier
1619160991
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NORTHWEST OPHTHALMOLOGY CENTER, INC.
Practice address
3535 Fishinger Blvd
Suite 230
Hilliard, OH 43026-7504
Phone
(614) 777-3937
Fax
(614) 777-4190
NPI assigned
Aug 21, 2007
Last updated
Dec 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Dr. Kevin Grant Kegler, M.D.NPI 1710974043
Title
President
Phone
(614) 777-3937

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
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

3535 Fishinger Blvd
Suite 230
Hilliard, OH 43026-7504

Mailing address

PO Box 21150
Columbus, OH 43221-0150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080922000000 OH Part B Supplier - Clinic/Group Practice 1355301714 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH; Hilliard, OH

National Provider Directory

National Provider Directory

Locations

303 E Town St
Ste 270
Columbus, OH 43215
Phone (614) 228-4500

3535 Fishinger Blvd
Ste 150
Hilliard, OH 43026
Phone (614) 777-3937

3535 Fishinger Blvd
Ste 230
Hilliard, OH 43026
Phone (614) 777-3937

Practitioners & affiliated clinicians

Practitioners 1

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": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1619160991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432210150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 FISHINGER BLVD",
            "address_2": "SUITE 230",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267504",
            "telephone_number": "614-777-3937",
            "fax_number": "614-777-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST OPHTHALMOLOGY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "KEGLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-777-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.