Individual provider Active NPI

Emily Herendeen, OD

  • Optometrist
  • Columbus, OH
National Provider Identifier
1760189476
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007324 Issued in OH
Practice address
1595 Georgesville Square Dr
Columbus, OH 43228-3689
Phone
(614) 385-0088
Fax
(614) 385-0088
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007324 OH Primary
Optometrist 152W00000X 4901005660 MI

Addresses

Primary practice location

1595 Georgesville Square Dr
Columbus, OH 43228-3689

Mailing address

3434 Riverside Dr
Upper Arlington, OH 43221-1743
Phone (614) 273-0393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231031003145 MI Practitioner - Optometry 0345696068 Reassigns benefits to 1 organization
I20240918000272 OH Practitioner - Optometry 0345696068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Eye Center LLCGroup PAC ID 1759638059, 3 clinicians

Practice addresses (Care Compare)

3434 Riverside Dr
Upper Arlington, OH 43221-1743
Phone (614) 273-0393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005660MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Eye Center LLC Optometrist CurrentSince Sep 4, 2025 Accepting new patients
Family First Vision Care, LLC Optometrist CurrentSince Jul 31, 2024 Accepting new patients
Allegan Eyecare PC Optometrist CurrentSince Oct 6, 2023 Accepting new patients

Locations

123 Locust St
Allegan, MI 49010
Phone (269) 673-5100

1251 N Bridge St
Ste N
Chillicothe, OH 45601
Phone (740) 212-3810

1595 Georgesville Square Dr
Columbus, OH 43228
Phone (614) 385-0088

3948 Morse Xing
Columbus, OH 43219
Phone (614) 475-5240

1150 Polaris Pkwy
Columbus, OH 43240
Phone (614) 433-7357

1260 Sunbury Rd
Ste B
Delaware, OH 43015
Phone (740) 212-6111

4977 Tuttle Crossing Blvd
Dublin, OH 43016
Phone (614) 766-6638

316 S Hamilton Rd
Gahanna, OH 43230

368 S Hamilton Rd
Gahanna, OH 43230
Phone (614) 478-5030

1584 Stringtown Rd
Grove City, OH 43123
Phone (614) 871-4016

8121 E Broad St
Reynoldsburg, OH 43068
Phone (614) 655-8448

3434 Riverside Dr
Upper Arlington, OH 43221
Phone (614) 273-0393

Organizations & group practices 3

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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1760189476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 RIVERSIDE DR",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432211743",
            "telephone_number": "614-273-0393",
            "fax_number": "614-273-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 GEORGESVILLE SQUARE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432283689",
            "telephone_number": "614-385-0088",
            "fax_number": "614-385-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERENDEEN",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007324",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.