Individual provider Active NPI

Eriq Hall

  • Optometrist
  • Grove City, OH
National Provider Identifier
1790420685
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7061 Issued in OH
Practice address
3959 Hoover Rd
Grove City, OH 43123-2839
Phone
(614) 875-8373
NPI assigned
May 4, 2022
Last updated
May 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7061 OH Primary

Addresses

Primary practice location

3959 Hoover Rd
Grove City, OH 43123-2839

Mailing address

3293 Bluemont Park
Hilliard, OH 43026-8752
Phone (440) 258-8493

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
I20220630000265 OH Practitioner - Optometry 7810377322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optometric Management Group LLCGroup PAC ID 7517034291, 43 clinicians

Practice addresses (Care Compare)

265 N Liberty St
Powell, OH 43065-8870
Phone (614) 793-0700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7061OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Management Group LLC Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Fries Eye Care, LLC Optometrist CurrentSince Jun 1, 2022 Accepting new patients
Fries Eye Care, LLC Optometrist Current Accepting new patients

Locations

3636 Broadway
Grove City, OH 43123
Phone (614) 871-3234

3959 Hoover Rd
Grove City, OH 43123
Phone (614) 766-2006

265 N Liberty St
Powell, OH 43065
Phone (614) 793-0700

1050 Washington Ave
Washington Court House, OH 43160
Phone (740) 335-1025

226 W Court St
Washington Court House, OH 43160
Phone (740) 335-2020

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, 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": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1790420685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3293 BLUEMONT PARK",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430268752",
            "telephone_number": "440-258-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 HOOVER RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232839",
            "telephone_number": "614-875-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ERIQ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "7061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.