Organization Active NPI

Central Ohio Vision and Eyecare, LLC

  • Optometrist
  • New Albany, OH
National Provider Identifier
1891276507
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6552 Issued in OH
Legal business name
CENTRAL OHIO VISION AND EYECARE, LLC
Practice address
6772 New Albany Condit Rd
New Albany, OH 43054-9733
Phone
(614) 933-0575
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Dr. Matthew Karres, ODNPI 1942738612
Title
Doctor
Phone
(614) 266-0770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6552 OH Primary

Addresses

Primary practice location

6772 New Albany Condit Rd
New Albany, OH 43054-9733

Mailing address

65 Penrod Ave
Pataskala, OH 43062-7543
Phone (614) 266-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181010003069 OH Part B Supplier - Clinic/Group Practice 4385996842 Receives reassigned benefits from 3 practitioners
Practice locations: New Albany, OH

National Provider Directory

National Provider Directory

Locations

6772 New Albany Condit Rd
New Albany, OH 43054
Phone (614) 933-0575

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1891276507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PENROD AVE",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430627543",
            "telephone_number": "614-266-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6772 NEW ALBANY CONDIT RD",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549733",
            "telephone_number": "614-933-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO VISION AND EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "KARRES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "614-266-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.