Individual provider Active NPI

Mark Nolan, O.D.

  • Optometrist
  • Columbus, OH
National Provider Identifier
1871559211
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T1444 Issued in OH
Practice address
5965 E Broad St
Suite 480
Columbus, OH 43213-1562
Phone
(614) 766-2006
Fax
(614) 751-4085
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 T1444 OH Primary

Addresses

Primary practice location

5965 E Broad St
Suite 480
Columbus, OH 43213-1562

Mailing address

5965 E Broad St
Suite 480
Columbus, OH 43213-1562
Phone (614) 766-2006

Other identifiers 1

IdentifierTypeStateIssuer
2252468MedicaidOH

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
I20110601000199 OH Practitioner - Optometry 1759568728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Vision Care LLCGroup PAC ID 2769709179, 25 clinicians

Practice addresses (Care Compare)

1595 Georgesville Square Dr
Columbus, OH 43228-3689
Phone (614) 385-0088

316 S Hamilton Rd
Gahanna, OH 43230-3350

368 S Hamilton Rd
Gahanna, OH 43230-3350
Phone (614) 478-7474

3948 Morse Xing
Columbus, OH 43219-6081
Phone (614) 475-5240

8121 E Broad St
Reynoldsburg, OH 43068-9732
Phone (614) 655-8448

Merit-based Incentive Payment System (MIPS)

Final score
92.87 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4669OHMDChiropractor
T1444OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgery Consultants Inc. CurrentSince Apr 8, 2018 Accepting new patients
Family First Vision Care, LLC Optometrist CurrentSince Feb 19, 2025 Accepting new patients

Locations

1251 N Bridge St
Ste N
Chillicothe, OH 45601
Phone (740) 212-3810

1595 Georgesville Square Dr
Columbus, OH 43228
Phone (614) 385-0088

3948 Morse Xing
Columbus, OH 43219
Phone (614) 475-5240

1150 Polaris Pkwy
Columbus, OH 43240
Phone (614) 433-7357

1260 Sunbury Rd
Ste B
Delaware, OH 43015
Phone (740) 212-6111

4977 Tuttle Crossing Blvd
Dublin, OH 43016
Phone (614) 766-6638

316 S Hamilton Rd
Gahanna, OH 43230

368 S Hamilton Rd
Gahanna, OH 43230
Phone (614) 478-5030

1584 Stringtown Rd
Grove City, OH 43123
Phone (614) 871-4016

240 W Cook Rd
Mansfield, OH 44907
Phone (419) 525-3737

8121 E Broad St
Reynoldsburg, OH 43068
Phone (614) 655-8448

Interoperability endpoints

  • Direct secure messaging: mnolan@directaddress.net

Organizations & group practices 2

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871559211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 E BROAD ST",
            "address_2": "SUITE 480",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131562",
            "telephone_number": "614-766-2006",
            "fax_number": "614-751-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 E BROAD ST",
            "address_2": "SUITE 480",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131562",
            "telephone_number": "614-766-2006",
            "fax_number": "614-751-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T1444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2252468",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.