Jonathan Jay Lytle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6296 Issued in OH

Practice address

89 E Wilson Bridge Rd
Worthington, OH 43085-6315

Phone

(614) 885-7464

NPI assigned

Jun 19, 2014

Last updated

Sep 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Albright,Albright and Schnulo Ods,Inc.Group PAC ID 5597830935, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Albright,Albright & Schnulo Ods,Inc.

  • Optometrist
  • Worthington, OH
  • NPI 1659552594
  Medicare reassignment Care Compare group NPD
• Ohio State University

  dba The Ohio State University College of Optometry

  • Optometrist
  • Columbus, OH
  • NPI 1710900683
  Medicare reassignment NPD
• Ohio State University

  dba OSU Traumatic Brain Injury Network

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1730133729
  NPD

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1831503630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 E WILSON BRIDGE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430856315",
            "telephone_number": "614-885-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 E WILSON BRIDGE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430856315",
            "telephone_number": "614-885-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTLE",
        "first_name": "JONATHAN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lutheran Social Services of Central Ohio Home Care LLC
• Thomas Charles Lyle, D,D.S
• Deborah Lynch
• Samantha Lyon, DPT
• Daniel Richard Lytle, M.S.W., L.I.S.W.
• Christopher Mark Mabry
• Audrey Maccomer, SLP
• Adrienn Dagmar Macdougall
• Alba Macharrie
• Jessica Mackey

• Optometrist in Worthington, OH
• Providers in Worthington, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.