Individual provider Active NPI

Susan L Robinson, O.D.

  • Optometrist
  • Worthington, OH
National Provider Identifier
1730195579
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5257 Issued in OH
Practice address
885 High St
Ste 101/102
Worthington, OH 43085-4158
Phone
(614) 888-5058
Fax
(614) 888-0679
NPI assigned
Aug 1, 2006
Last updated
Oct 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5257 OH Primary

Addresses

Primary practice location

885 High St
Ste 101/102
Worthington, OH 43085-4158

Mailing address

885 High St
Ste 101/102
Worthington, OH 43085-4158
Phone (614) 888-5058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

82 Kennebec PL W
Westerville, OH 43081-1214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5257OHMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Family Eye Care, LLC Optometrist CurrentSince Aug 13, 2004 Accepting new patients
Dr. James R. Scholles, Optometrist, Inc. Optometrist Past Accepting new patients

Locations

885 High St
Worthington, OH 43085
Phone (614) 885-2411

885 High St
Ste 101102
Worthington, OH 43085
Phone (614) 888-5058

885 High St
Ste 102
Worthington, OH 43085
Phone (614) 888-5058

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1730195579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 HIGH ST",
            "address_2": "STE 101/102",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854158",
            "telephone_number": "614-888-5058",
            "fax_number": "614-888-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 HIGH ST",
            "address_2": "STE 101/102",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854158",
            "telephone_number": "614-888-5058",
            "fax_number": "614-888-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SUSAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.