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NPI Code Detail

MEDICARE: OHIO STATE UNIVERSITY

MEDICARE: OHIO STATE UNIVERSITY
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
1152W00000XOptometrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710900683
Entity Type Code : Organization
Provider Name (Legal Business Name) : OHIO STATE UNIVERSITY
Provider Business Mailing Address
First Line : 1664 NEIL AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43201-2333
Country : US
Telephone Number : 614-292-2020
Fax Number : 614-247-4543
Provider Business Practice Location Address
First Line : 1664 NEIL AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43201-2333
Country : US
Telephone Number : 614-292-2020
Fax Number : 614-247-4543
Authorized Official
Title or Position : ASSOCIATE DEAN OF CLINIC SERVICES
Name : DR. GREGORY J NIXON
Credential : OD, FAAO
Telephone Number : 614-292-5367
Provider Enumeration Date : 07/25/2006
Last Update Date : 12/10/2020

Similar Medicare Providers

1215958913 — DR. MICHELLE JERWERS BUCKLAND O.D.
Practice Location Address:
1664 NEIL AVE
COLUMBUS, OH
43201-2333
Practice Phone: 614-292-2020
Practice Fax: 614-292-2781
1972629467 — GREGORY NIXON O.D.
Practice Location Address:
1664 NEIL AVE
COLUMBUS, OH
43201-2333
Practice Phone: 614-292-2020
Practice Fax: 614-247-4543
1700093424 — DR. DENISE LUCILLE DESCHENES M.D.
Practice Location Address:
1640 NEIL AVE , 4TH FLOOR
COLUMBUS, OH
43201-2333
Practice Phone: 614-292-5766
Practice Fax: 614-688-3440
1831401637 — DR. GREGORY R HOPKINS II OD, MS
Practice Location Address:
1664 NEIL AVE
COLUMBUS, OH
43201-2333
Practice Phone: 614-292-1104
Practice Fax: 614-292-2781
1710268206 — DR. JONATHON MICHAEL ROSS OD
Practice Location Address:
1664 NEIL AVE
COLUMBUS, OH
43201-2333
Practice Phone: 614-292-2020
Practice Fax:
1811345077 — MEGAN SHIREY O.D.
Practice Location Address:
1664 NEIL AVE
COLUMBUS, OH
43201-2333
Practice Phone: 614-292-2020
Practice Fax:

Directions to “OHIO STATE UNIVERSITY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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