Individual provider Active NPI

Susan J Wright, OD

  • Optometrist
  • Dublin, OH
National Provider Identifier
1922167022
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4502 Issued in OH
Practice address
6285 Emerald Parkway
Dublin, OH 43016-3241
Phone
(614) 764-8956
Fax
(614) 764-9532
NPI assigned
Dec 6, 2006
Last updated
Feb 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4502 OH Primary

Addresses

Primary practice location

6285 Emerald Parkway
Dublin, OH 43016-3241

Mailing address

3349 Reed Point Dr
Hilliard, OH 43026-1557
Phone (614) 876-5872

Other names 1

  • Ms. Susan Joan Jamgochian Other name

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
I20090909000099 OH Practitioner - Optometry 8921153305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerald Eyecare LLCGroup PAC ID 2163652645, 4 clinicians

Practice addresses (Care Compare)

6285 Emerald Pkwy
Dublin, OH 43016-3241
Phone (614) 764-8956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4502OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Eyecare LLC Optometrist CurrentSince Jan 5, 2014 Accepting new patients

Locations

6285 Emerald Pkwy
Dublin, OH 43016
Phone (614) 764-8956

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, 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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1922167022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 REED POINT DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261557",
            "telephone_number": "614-876-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 EMERALD PARKWAY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430163241",
            "telephone_number": "614-764-8956",
            "fax_number": "614-764-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "JAMGOCHIAN",
            "middle_name": "JOAN",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.