Individual provider Active NPI

Christy Northcutt, O.D.

  • Optometrist
  • Perrysburg, OH
National Provider Identifier
1700015815
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5898 Issued in OH
Practice address
4306 Moser Lane
Perrysburg, OH 43551-7187
Phone
(614) 625-6151
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5898 OH Primary

Addresses

Primary practice location

4306 Moser Lane
Perrysburg, OH 43551-7187

Mailing address

5001 Monroe St
T-2
Toledo, OH 43623-3627
Phone (419) 473-1500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090910000007 OH Practitioner - Optometry 8426103763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Society for the BlindGroup PAC ID 1254393044, 3 clinicians
Fallen Timbers Family Eye CareGroup PAC ID 1254406317, 4 clinicians

Practice addresses (Care Compare)

1002 Garden Lake Pkwy
Toledo, OH 43614-2780
Phone (419) 720-3937

3100 N Main St
Suite 723
Maumee, OH 43537-7515
Phone (419) 878-2628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fallen Timbers Family Eye Care Optometrist CurrentSince Jul 11, 2009 Accepting new patients
Toledo Society for the Blind Optometrist CurrentSince Feb 9, 2019 Accepting new patients

Locations

3100 Main St
Ste 723
Maumee, OH 43537
Phone (419) 878-2628

5001 Monroe St
#T2
Toledo, OH 43623
Phone (419) 475-7908

5001 Monroe St
Ste 206
Toledo, OH 43623
Phone (419) 475-7908

1002 Garden Lake Pkwy
Toledo, OH 43614
Phone (419) 720-3937

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1700015815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 MONROE ST",
            "address_2": "T-2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233627",
            "telephone_number": "419-473-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 MOSER LANE",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435517187",
            "telephone_number": "614-625-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHCUTT",
        "first_name": "CHRISTY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.