NPIMap

Organization Active NPI

Olding Eye Care, LLC

Doing business as Professional Eye Care at Westar

  • Optometrist
  • Westerville, OH
National Provider Identifier
1780952424
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5811 Issued in OH
Legal business name
OLDING EYE CARE, LLC
Doing business as
Professional Eye Care at Westar
Practice address
484 County Line Rd W
Suite 120
Westerville, OH 43082-7080
Phone
(614) 895-9955
Fax
(614) 895-0913
NPI assigned
Dec 8, 2011
Last updated
Dec 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Dr. Jacob Alan Olding, O.D.NPI 1801051206
Title
Member
Phone
(614) 738-3898

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
Optometrist 152W00000X 5811 OH Primary

Addresses

Primary practice location

484 County Line Rd W
Suite 120
Westerville, OH 43082-7080

Mailing address

484 County Line Rd W
Suite 120
Westerville, OH 43082-7080
Phone (614) 895-9955

Other names 1

  • Professional Eye Care at Westar Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120127000677 OH Part B Supplier - Clinic/Group Practice 9032376322 Receives reassigned benefits from 4 practitioners
Practice locations: Westerville, OH

National Provider Directory

National Provider Directory

Locations

584 N State St
Westerville, OH 43082
Phone (614) 895-9955

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1780952424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 COUNTY LINE RD W",
            "address_2": "SUITE 120",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827080",
            "telephone_number": "614-895-9955",
            "fax_number": "614-895-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 COUNTY LINE RD W",
            "address_2": "SUITE 120",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827080",
            "telephone_number": "614-895-9955",
            "fax_number": "614-895-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDING EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "OLDING",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-738-3898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Eye Care at Westar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 8, 2011; 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.