Individual provider Active NPI

Jacob Alan Olding, O.D.

  • Optometrist
  • Westerville, OH
National Provider Identifier
1801051206
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5811 Issued in OH
Practice address
484 County Line Rd W Ste 120
Westerville, OH 43082-7110
Phone
(614) 895-9955
Fax
(614) 895-0913
NPI assigned
Jul 24, 2008
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5811 OH Primary

Addresses

Primary practice location

484 County Line Rd W Ste 120
Westerville, OH 43082-7110

Mailing address

584 N State St
Westerville, OH 43082-9002
Phone (614) 895-9955

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
I20090309000380 OH Practitioner - Optometry 5991861494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olding Eye Care, LLCGroup PAC ID 9032376322, 3 clinicians

Practice addresses (Care Compare)

584 N State St
Westerville, OH 43082-9002
Phone (614) 895-9955

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5811OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Olding Eye Care, LLC Optometrist CurrentSince Dec 28, 2011 Accepting new patients
Optimum Eye Care, Inc Optometrist Past Accepting new patients
Fries Eye Care, LLC Optometrist PastSince Dec 29, 2011 Accepting new patients

Locations

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

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

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1801051206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 N STATE ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829002",
            "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 STE 120",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827110",
            "telephone_number": "614-895-9955",
            "fax_number": "614-895-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDING",
        "first_name": "JACOB",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.