Organization Active NPI

Polaris Eye Care

  • Optometrist
  • Columbus, OH
National Provider Identifier
1689175432
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5573 Issued in OH
Legal business name
POLARIS EYE CARE
Practice address
1070 Polaris Pkwy Ste 110
Columbus, OH 43240-4039
Phone
(614) 880-1493
Fax
(614) 880-9018
NPI assigned
Feb 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Authorized official

Name
J Erin Shewring, OD
Title
President
Phone
(614) 880-1493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5573 OH Primary

Addresses

Primary practice location

1070 Polaris Pkwy Ste 110
Columbus, OH 43240-4039

Mailing address

1070 Polaris Pkwy Ste 110
Columbus, OH 43240-4039
Phone (614) 880-1493

Other identifiers 1

IdentifierTypeStateIssuer
SH4174622MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180523003285 OH Part B Supplier - Clinic/Group Practice 5991060881 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

1070 Polaris Pkwy
Ste 110
Columbus, OH 43240
Phone (614) 880-1493

1070 Polaris Pkwy
Ste 200
Columbus, OH 43240
Phone (614) 880-1493

Practitioners & affiliated clinicians

Practitioners 4

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": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1689175432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 POLARIS PKWY STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432404039",
            "telephone_number": "614-880-1493",
            "fax_number": "614-880-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 POLARIS PKWY STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432404039",
            "telephone_number": "614-880-1493",
            "fax_number": "614-880-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "SHEWRING",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-880-1493",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SH4174622",
            "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 Feb 27, 2018; 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.