Individual provider Active NPI

Erin Marie Papp, O.D.

  • Optometrist
  • Powell, OH
National Provider Identifier
1811126154
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5846 Issued in OH
Practice address
25 Hidden Ravines Dr Ste C
Powell, OH 43065-9884
Phone
(614) 431-5540
Fax
(614) 431-0480
NPI assigned
Jul 8, 2009
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5846 OH Primary

Addresses

Primary practice location

25 Hidden Ravines Dr Ste C
Powell, OH 43065-9884

Mailing address

25 Hidden Ravines Dr Ste C
Powell, OH 43065-9884
Phone (614) 431-5540

Other names 1

  • Dr. Erin Marie Brackney Former name

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
I20090817000052 OH Practitioner - Optometry 1557415106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erin M Papp OD LLCGroup PAC ID 5496986408, 2 clinicians

Practice addresses (Care Compare)

25 Hidden Ravines Dr
Suite C
Powell, OH 43065-9884
Phone (614) 431-5540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5846OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Erin M. Papp, OD, LLC Optometrist CurrentSince Mar 1, 2014 Accepting new patients
Wesley J Harnish MD Optometrist Past Accepting new patients
Clear Choice Audiology, LLC Past Accepting new patients
Digestwell, LLC PastSince Mar 1, 2014 Accepting new patients

Locations

25 Hidden Ravines Dr
Ste C
Powell, OH 43065
Phone (614) 431-5540

7227 N High St
Ste 255
Worthington, OH 43085

Organizations & group practices 4

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": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1811126154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIDDEN RAVINES DR STE C",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430659884",
            "telephone_number": "614-431-5540",
            "fax_number": "614-431-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIDDEN RAVINES DR STE C",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430659884",
            "telephone_number": "614-431-5540",
            "fax_number": "614-431-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPP",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "BRACKNEY",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.