Individual provider Active NPI

Richard Scott Penny, O.D.

  • Optometrist
  • Springfield, OH
National Provider Identifier
1831194612
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3687 Issued in OH
Practice address
1689 N Bechtle Ave
Springfield, OH 45504-1568
Phone
(937) 323-1233
Fax
(937) 323-2518
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3687 OH Primary

Addresses

Primary practice location

1689 N Bechtle Ave
Springfield, OH 45504-1568

Mailing address

1689 N Bechtle Ave
Springfield, OH 45504-1568
Phone (937) 323-1233

Other names 1

  • Dr. R. Scott Penny Professional 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
I20081002000327 OH Practitioner - Optometry 5698843704 Reassigns benefits to 1 organization
Practice locations: Springfield, OH

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

33541 Aurora Rd
Solon, OH 44139-3705
Phone (440) 248-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3687OHMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Feb 19, 2020 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Feb 19, 2020 Accepting new patients
Leonardi Group Inc PastSince Aug 1, 2009 Accepting new patients

Locations

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

1689 N Bechtle Ave
Springfield, OH 45504
Phone (937) 323-1233

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1831194612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 N BECHTLE AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041568",
            "telephone_number": "937-323-1233",
            "fax_number": "937-323-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 N BECHTLE AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041568",
            "telephone_number": "937-323-1233",
            "fax_number": "937-323-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNY",
        "first_name": "RICHARD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R.",
            "last_name": "PENNY",
            "middle_name": "SCOTT",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.