NPIMap

Organization Active NPI

Mid Ohio Eye Outpatient Surgery Center

  • Ophthalmic Technician/Technologist
  • Columbus, OH
National Provider Identifier
1669789517
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
License
35038852 Issued in OH
Legal business name
MID OHIO EYE OUTPATIENT SURGERY CENTER
Practice address
245 Taylor Station Rd
Columbus, OH 43213-4400
Phone
(614) 861-0448
Fax
(614) 861-7717
NPI assigned
Sep 13, 2010
Last updated
Sep 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Mrs. Grace Z Kim, M.D.NPI 1003870643
Title
Director/Owner
Phone
(614) 861-0448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/Technologist 156FX1100X 35038852 OH Primary

Addresses

Primary practice location

245 Taylor Station Rd
Columbus, OH 43213-4400

Mailing address

245 Taylor Station Rd
Columbus, OH 43213-4400
Phone (614) 861-0448

Other identifiers 1

IdentifierTypeStateIssuer
0778592MedicaidOH

National Provider Directory

National Provider Directory

Locations

245 Taylor Station Rd
Columbus, OH 43213
Phone (614) 861-0448

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": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1669789517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 TAYLOR STATION RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134400",
            "telephone_number": "614-861-0448",
            "fax_number": "614-861-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 TAYLOR STATION RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134400",
            "telephone_number": "614-861-0448",
            "fax_number": "614-861-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID OHIO EYE OUTPATIENT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "614-861-0448",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "OH",
            "license": "35038852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0778592",
            "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 Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.