Organization Active NPI

Columbus Vision Associates, Inc

  • Optometrist
  • Westerville, OH
National Provider Identifier
1760638167
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH4563 Issued in OH
Legal business name
COLUMBUS VISION ASSOCIATES, INC
Practice address
487 Lazelle Rd
Westerville, OH 43081-9540
Phone
(614) 431-2099
Fax
(614) 431-2011
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Dr. Stephen G Hirt, O.D.NPI 1912083452
Title
Owner
Phone
(614) 431-2099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OH4563 OH Primary

Addresses

Primary practice location

487 Lazelle Rd
Westerville, OH 43081-9540

Mailing address

487 Lazelle Rd
Westerville, OH 43081-9540
Phone (614) 431-2099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100913000511 OH Part B Supplier - Clinic/Group Practice 5092830257 Receives reassigned benefits from 3 practitioners
Practice locations: Westerville, OH

National Provider Directory

National Provider Directory

Locations

1029 Refugee Rd
Ste 300
Pickerington, OH 43147

487 Lazelle Rd
Westerville, OH 43081
Phone (614) 431-2099

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1760638167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 LAZELLE RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430819540",
            "telephone_number": "614-431-2099",
            "fax_number": "614-431-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 LAZELLE RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430819540",
            "telephone_number": "614-431-2099",
            "fax_number": "614-431-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS VISION ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "HIRT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-431-2099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH4563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.