Individual provider Active NPI

Maddison Marie Fortman, OD, MS

  • Optometrist
  • Columbus, OH
National Provider Identifier
1831987023
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007385 Issued in OH
Practice address
915 Olentangy River Rd
Columbus, OH 43212-3153
Phone
(614) 293-8116
Fax
(614) 293-5315
NPI assigned
Apr 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007385 OH Primary

Addresses

Primary practice location

915 Olentangy River Rd
Columbus, OH 43212-3153

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8116

Other practice location 1

563 Wessel Dr
Fairfield, OH 45014-3668
Phone (513) 858-6500

Other practice location 2

3310 Mercy Health Blvd Ste 220
Cincinnati, OH 45211-1120
Phone (513) 984-5133

Other practice location 3

10615 Montgomery Rd Ste 202
Montgomery, OH 45242-4460
Phone (513) 296-8332

Other practice location 4

6150 Radio Way
Mason, OH 45040-4520
Phone (513) 770-4020

Other practice location 5

6507 Harrison Ave
Cincinnati, OH 45247-2816
Phone (513) 984-5133

Other practice location 6

1945 Cei Dr
Blue Ash, OH 45242-5664
Phone (513) 984-5133

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
I20250609002250 OH Practitioner - Optometry 3476063421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11613 State Route 362
Minster, OH 45865-9370

700 Ackerman Rd
Columbus, OH 43202-1500

PO Box
Dallas, TX 75320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OPT.007385OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Eye Physicians and Surgeons LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

915 Olentangy River Rd
Fl 5
Columbus, OH 43212

915 Olentangy River Rd
Columbus, OH 43212

915 Olentangy River Rd
Ste 5000
Columbus, OH 43212
Phone (614) 293-8117

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

Interoperability endpoints

  • Direct secure messaging: mfortman1574496@direct.osumc.edu

Organizations & group practices 1

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": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1831987023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-8116",
            "fax_number": "614-293-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123153",
            "telephone_number": "614-293-8116",
            "fax_number": "614-293-5315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "563 Wessel Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450143668",
            "country_code": "US",
            "telephone_number": "513-858-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3310 Mercy Health Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452111120",
            "country_code": "US",
            "telephone_number": "513-984-5133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10615 Montgomery Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "OH",
            "postal_code": "452424460",
            "country_code": "US",
            "telephone_number": "513-296-8332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6150 Radio Way",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450404520",
            "country_code": "US",
            "telephone_number": "513-770-4020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6507 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452472816",
            "country_code": "US",
            "telephone_number": "513-984-5133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 Cei Dr",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452425664",
            "country_code": "US",
            "telephone_number": "513-984-5133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTMAN",
        "first_name": "MADDISON",
        "middle_name": "MARIE",
        "credential": "OD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.