NPIMap

Organization Active NPI

Midwest Retina, Inc

  • Ophthalmology Physician
  • Dublin, OH
National Provider Identifier
1699846535
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MIDWEST RETINA, INC
Practice address
6655 Post Rd
Dublin, OH 43016-8214
Phone
(614) 339-8500
Fax
(614) 339-8501
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Ms. Toni Turk
Title
Administrator
Phone
(614) 339-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

6655 Post Rd
Dublin, OH 43016-8214

Mailing address

6655 Post Rd
Dublin, OH 43016-8214
Phone (614) 339-8500

Other identifiers 6

IdentifierTypeStateIssuer
2584430MedicaidOH
2322490MedicaidOH
2322516MedicaidOH
2322552MedicaidOH
2584298MedicaidOH
2322525MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040913000354 OH Part B Supplier - Clinic/Group Practice 0244207074 Receives reassigned benefits from 12 practitioners
Practice locations: Delaware, OH; Zanesville, OH; Mount Vernon, OH; Marysville, OH; Marion, OH; Mansfield, OH; Lancaster, OH; Grove City, 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
36D1076015Midwest Retina Inc6655 Post Road, Dublin, OH 43016Certificate of waiverNov 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Midwest Retina2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

262 Neil Ave
Ste 330
Columbus, OH 43215

150 Taylor Station Rd
Ste 120
Columbus, OH 43213

6573 E Broad St
Ste B
Columbus, OH 43213

262 Neil Ave
Ste 300
Columbus, OH 43215

85 McNaughten Rd
Ste 250
Columbus, OH 43213
Phone (614) 233-9500

241 Paddock Ct
Ste 1
Delaware, OH 43015

6655 Post Rd
Dublin, OH 43016

618 Pleasantville Rd
Ste 204
Lancaster, OH 43130
Phone (740) 687-6902

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1699846535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 POST RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168214",
            "telephone_number": "614-339-8500",
            "fax_number": "614-339-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 POST RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168214",
            "telephone_number": "614-339-8500",
            "fax_number": "614-339-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST RETINA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "TURK",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-339-8500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2584430",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2322490",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2322516",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2322552",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2584298",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2322525",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.