Individual provider Active NPI

Janine L Flood, O.D.

  • Optometrist
  • Heath, OH
National Provider Identifier
1710974407
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3730-T438 Issued in OH
Practice address
604 S 30TH St
Heath, OH 43056-1213
Phone
(740) 522-8444
Fax
(740) 522-6493
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3730-T438 OH Primary

Addresses

Primary practice location

604 S 30TH St
Heath, OH 43056-1213

Mailing address

604 S 30TH St
Heath, OH 43056-1213
Phone (740) 522-8444

Other identifiers 1

IdentifierTypeStateIssuer
0586941MedicaidOH

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
I20091217000446 OH Practitioner - Optometry 3476693789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian Mound Eye Clinic IncGroup PAC ID 1759315625, 4 clinicians

Practice addresses (Care Compare)

604 S 30TH St
Heath, OH 43056-1204
Phone (740) 522-8444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3730OHMDClinical Psychologist
3730-T438OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Indian Mound Eye Clinic Inc Optometrist CurrentSince Oct 1, 1998 Accepting new patients
Eye Surgery Consultants Inc. PastSince Oct 1, 1998 Accepting new patients

Locations

604 S 30th St
Heath, OH 43056
Phone (614) 522-8444

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1710974407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S 30TH ST",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561213",
            "telephone_number": "740-522-8444",
            "fax_number": "740-522-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S 30TH ST",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561213",
            "telephone_number": "740-522-8444",
            "fax_number": "740-522-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOOD",
        "first_name": "JANINE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3730-T438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0586941",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heath, OH

Sources for this page

Verify at the official NPI Registry.