Organization Active NPI

Columbus Eyeworks LLC

  • Optometrist
  • Columbus, OH
National Provider Identifier
1689849549
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3759/T520 Issued in OH
Legal business name
COLUMBUS EYEWORKS LLC
Practice address
25 W Hubbard Ave
Columbus, OH 43215-1410
Phone
(614) 421-2020
Fax
(614) 421-9115
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Kurt Bennett, ODNPI 1851720429
Title
President
Phone
(614) 421-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3759/T520 OH Primary

Addresses

Primary practice location

25 W Hubbard Ave
Columbus, OH 43215-1410

Mailing address

1127 N High St
Columbus, OH 43201-2441
Phone (614) 421-2020

Other identifiers 5

IdentifierTypeStateIssuer
293522321008OtherOHMEDICAL MUTUAL OF OHIO PIN
821114MedicaidOH
000000134652OtherOHBLUE CROSS/BLUE SHIELD PIN
1669545042OtherOHINDIVIDUAL NPI (TYPE 1) FOR DANIEL J. KOCH, O.D.
4628497OtherOHAETNA PIN

Other names 1

  • Columbus Eyeworks Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080723000825 OH Part B Supplier - Clinic/Group Practice 1658444609 Receives reassigned benefits from 4 practitioners
Practice locations: Columbus, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2249014Columbus Eyeworks25 W Hubbard Ave, Columbus, OH 43215Certificate of waiverJan 17, 2028

National Provider Directory

National Provider Directory

Locations

25 W Hubbard Ave
Columbus, OH 43215
Phone (614) 421-2020

1127 N High St
Columbus, OH 43201
Phone (614) 421-2020

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": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1689849549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012441",
            "telephone_number": "614-421-2020",
            "fax_number": "614-421-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W HUBBARD AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151410",
            "telephone_number": "614-421-2020",
            "fax_number": "614-421-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS EYEWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-421-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3759/T520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO PIN",
            "identifier": "293522321008",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "821114",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD PIN",
            "identifier": "000000134652",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI (TYPE 1) FOR DANIEL J. KOCH, O.D.",
            "identifier": "1669545042",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "4628497",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Eyeworks",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Columbus Eyeworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.