Capital Vision Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4215 Issued in OH

Legal business name

CAPITAL VISION CARE, INC.

Practice address

2066 W. Henderson Rd
Suite 104
Columbus, OH 43220-2452

Phone

(614) 457-2081

Fax

(614) 457-6021

NPI assigned

Apr 7, 2011

Last updated

Nov 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Craig C. McSurdy, O.D.NPI 1962551002

Title

President

Phone

(614) 457-2081

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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.

• Craig Charles McSurdy, O.D.

  • Optometrist
  • Columbus, OH
  • NPI 1962551002
  Medicare reassignment Authorized official
• Jeffrey Jay Capelle, O.D.

  • Optometrist
  • Fort Irwin, CA
  • NPI 1750450219
  NPD (past)

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1679862957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 W. HENDERSON RD",
            "address_2": "SUITE 104",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202452",
            "telephone_number": "614-457-2081",
            "fax_number": "614-457-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 W. HENDERSON RD",
            "address_2": "SUITE 104",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202452",
            "telephone_number": "614-457-2081",
            "fax_number": "614-457-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL VISION CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "MCSURDY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-457-2081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4215",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "4215",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OH",
            "license": "4215",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OH",
            "license": "4215",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "OH",
            "license": "4215",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097583",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.