NPIMap

Organization Active NPI

Divine Family Eyecare, Inc.

  • Optometrist
  • Columbus, OH
National Provider Identifier
1679708598
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5628 Issued in OH
Legal business name
DIVINE FAMILY EYECARE, INC.
Practice address
2696 Crossroads Plaza Dr
Columbus, OH 43219-3442
Phone
(614) 471-9005
NPI assigned
May 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Sylvia L Jones, O,D
Title
Optometrist
Phone
(614) 471-9005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5628 OH Primary

Addresses

Primary practice location

2696 Crossroads Plaza Dr
Columbus, OH 43219-3442

Mailing address

2696 Crossroads Plaza Dr
Columbus, OH 43219-3442
Phone (614) 471-9005

Other names 1

  • Dr. Jacqueline G. Davis, Optometist, Inc Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1679708598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2696 CROSSROADS PLAZA DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193442",
            "telephone_number": "614-471-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2696 CROSSROADS PLAZA DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193442",
            "telephone_number": "614-471-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE FAMILY EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "614-471-9005",
        "authorized_official_credential": "O,D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jacqueline G. Davis, Optometist, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 20, 2009; 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.