NPIMap

Organization Active NPI

Kimberly N Stuckey Eyecare LLC

  • Optometrist
  • Groveport, OH
National Provider Identifier
1912310087
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5682 Issued in OH
Legal business name
KIMBERLY N STUCKEY EYECARE LLC
Practice address
5335 Hendron Rd
Groveport, OH 43125-1055
Phone
(614) 836-9669
NPI assigned
Jun 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Dr. Kimberly N Stuckey, ODNPI 1558498543
Title
Optometrist
Phone
(614) 836-9669

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 5682 OH Primary

Addresses

Primary practice location

5335 Hendron Rd
Groveport, OH 43125-1055

Mailing address

5335 Hendron Rd
Groveport, OH 43125-1055

Other names 1

  • groveport eye care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Groveport Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1912310087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 HENDRON RD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431251055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 HENDRON RD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431251055",
            "telephone_number": "614-836-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY N STUCKEY EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "STUCKEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "614-836-9669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "groveport eye care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Groveport, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.