Active NPI
Maddison Marie Fortman, OD, MS
- Optometrist
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.007385
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.007385 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osu Eye Physicians and Surgeons LLC | Current | 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
- 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.
-
- Ophthalmology Physician
- Columbus, OH
- NPI 1861437923
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.