Amber N Slezak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6319 Issued in OH

Practice address

180 E Broad St
Suite a
Pataskala, OH 43062-7573

Phone

(740) 927-3061

Fax

(740) 927-7042

NPI assigned

May 6, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Steven Walsh OptometryGroup PAC ID 4284954546, 2 clinicians

Mobile Medical IncGroup PAC ID 5890765481, 80 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.57 of 100Reported as group

Quality

58.53

Promoting interoperability

100

Improvement activities

40

Cost

86.71

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amber.slezak.p19@direct.360care.nextgenshare.com

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.

• Mobile Medical Inc

  • Optometrist
  • Perrysburg, OH
  • NPI 1689620015

  OH, Optometrist

  Medicare reassignment Care Compare group NPD
• Steven Walsh Optometry

  • Optometrist
  • Pataskala, OH
  • NPI 1003203084

  OH, Optometrist

  Medicare reassignment Care Compare group NPD
• Mobile Medical, Inc.

  • Dentist
  • Perrysburg, OH
  • NPI 1629228572
  NPD
• Mobile Medical, Inc.

  • Podiatrist
  • Perrysburg, OH
  • NPI 1003066747
  NPD (past)

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1689084113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E BROAD ST",
            "address_2": "SUITE A",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430627573",
            "telephone_number": "740-927-3061",
            "fax_number": "740-927-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E BROAD ST",
            "address_2": "SUITE A",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430627573",
            "telephone_number": "740-927-3061",
            "fax_number": "740-927-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEZAK",
        "first_name": "AMBER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Daniel Shrallow, D.D.S.
• Danielle Simpson
• Sims Innovations LLC
• Jennifer Agnes Skeens, LPN
• SKS 8 LLC
• Cassietta Smith
• Colleen Smith, MD
• Erin Marie Smith, CNP
• Kim S Smith, L.P.N.
• Sophia Home Health Care Services LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.