Individual provider Active NPI

Jonathan David Culp, O.D.

  • Optometrist
  • Dublin, OH
National Provider Identifier
1790097590
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5937 Issued in OH
Practice address
6285 Emerald Pkwy
Dublin, OH 43016-3241
Phone
(614) 764-8956
Fax
(614) 764-9532
NPI assigned
Jul 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 618002038 VA
Optometrist 152W00000X 5937 OH Primary

Addresses

Primary practice location

6285 Emerald Pkwy
Dublin, OH 43016-3241

Mailing address

6285 Emerald Pkwy
Dublin, OH 43016-3241
Phone (614) 764-8956

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
I20140204000927 OH Practitioner - Optometry 3577710870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerald Eyecare LLCGroup PAC ID 2163652645, 4 clinicians

Practice addresses (Care Compare)

6285 Emerald Pkwy
Dublin, OH 43016-3241
Phone (614) 764-8956

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5937OHMDRegistered Dietitian
618002038VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Eyecare LLC Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Johnson Curran Optometry Centers PC Optometrist PastSince Aug 1, 2005 Accepting new patients

Locations

6285 Emerald Pkwy
Dublin, OH 43016
Phone (614) 764-8956

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1790097590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 EMERALD PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430163241",
            "telephone_number": "614-764-8956",
            "fax_number": "614-764-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 EMERALD PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430163241",
            "telephone_number": "614-764-8956",
            "fax_number": "614-764-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULP",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "618002038",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.