Active NPI
Angela Greenslait, O.D.
- Optometrist
- Mount Vernon, OH
National Provider Identifier
1891862272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OH4720
- Practice address
- 1558 Coshocton Ave
Ste C
Mount Vernon, OH 43050-5416 - Phone
- (614) 880-9196
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | OH4720 | OH | Primary |
Addresses
Primary practice location
1558 Coshocton Ave
Ste C
Mount Vernon, OH 43050-5416
Mailing address
PO Box 496
Suite 2012
Lewis Center, OH 43035-0496
Phone (614) 477-1670
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151013002251 | OH | Practitioner - Optometry | 0345337689 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH4720 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1891862272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 496",
"address_2": "SUITE 2012",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430350496",
"telephone_number": "614-477-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1558 COSHOCTON AVE",
"address_2": "STE C",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430505416",
"telephone_number": "614-880-9196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENSLAIT",
"first_name": "ANGELA",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OH4720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.