MEDICARE: OHIO STATE SCHOOL FOR THE BLIND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093950891
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO STATE SCHOOL FOR THE BLIND

Provider Business Mailing Address
First Line	:	5220 N HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-1240
Country	:	US
Telephone Number	:	614-752-1152
Fax Number	:	614-752-1713

Provider Business Practice Location Address
First Line	:	5220 N HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-1240
Country	:	US
Telephone Number	:	614-752-1152
Fax Number	:	614-752-1713

Authorized Official
Title or Position	:	ACTING SUPERINTENDENT
Name	:	MS. CYNTHIA JOHNSON
Credential	:	MA, NCSP
Telephone Number	:	614-752-1660

Provider Enumeration Date	:	12/08/2008
Last Update Date	:	12/08/2008

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Directions to “OHIO STATE SCHOOL FOR THE BLIND ” Practice Location

Language	Start Address	Practice Location

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