Phyllis Visocan, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35036423 Issued in OH

Practice address

1669 W Lane Ave
Columbus, OH 43221-3339

Phone

(614) 487-1212

Fax

(614) 487-1141

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Central Ohio Eye Care

  • Optometrist
  • Grove City, OH
  • NPI 1548673130
  NPD (past)
• Optometric Management Group

  • Optometrist
  • Grove City, OH
  • NPI 1316386501
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710050141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 W LANE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213339",
            "telephone_number": "614-487-1212",
            "fax_number": "614-487-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 W LANE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213339",
            "telephone_number": "614-487-1212",
            "fax_number": "614-487-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISOCAN",
        "first_name": "PHYLLIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35036423",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301034155",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G29024",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABCORP",
            "identifier": "34330690",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Visionworks Inc.
• Visionworks, Inc
• Visionworks, Inc
• Visionworks, Inc
• Visionworks, Inc.
• Vistacare USA, LLC
• Visual Care Associates, Inc.
• Sreekanth Viswanathan, MD
• Vita Care LLC
• Vitaflow Diagnostics LLC

• All providers in Columbus, OH
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.