Active NPI
Columbus Eyeworks LLC
- Optometrist
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3759/T520
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kurt Bennett, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 293522321008 | Other | OH | MEDICAL MUTUAL OF OHIO PIN |
| 821114 | Medicaid | OH | |
| 000000134652 | Other | OH | BLUE CROSS/BLUE SHIELD PIN |
| 1669545042 | Other | OH | INDIVIDUAL NPI (TYPE 1) FOR DANIEL J. KOCH, O.D. |
| 4628497 | Other | OH | AETNA PIN |
Other names 1
- Columbus Eyeworks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2249014 | Columbus Eyeworks | Certificate of waiver | Jan 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- New Lexington, OH
- NPI 1467061432
-
- Optometrist
- Columbus, OH
- NPI 1427632603
-
- Optometrist
- Columbus, OH
- NPI 1669545042
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
- Columbus East Chiropractic LLC
- Columbus East Opco, LLC
- Columbus East Senior Living LLC
- Columbus Eye Care Associates, Inc.
- Columbus Eye MD, Inc
- Columbus F&L Transportation Service Inc
- Columbus Family Care Center LLC
- Columbus Family Dental Care - Aaron Carroll, DDS & Katherine Carroll,
- Columbus Family Eyecare LLC
- Columbus Family Pharmacy
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.