Look up the most recent NPI and PECOS records

Optometric Management Group Llc

(Eyecare Professionals Of Powell)

Optometrist

Eye and Vision Services Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Optometric Management Group Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1265534093
Provider Type
Organization
Full Name
Optometric Management Group Llc
Other Name
Eyecare Professionals Of Powell

Subpart
No
Enumeration Date
9/2/2006
Last Updated
7/2/2024

Contact Information

Practice Location

265 N Liberty St, Powell, OH 43065-8870

(614) 793-0700

(614) 793-0084

Mailing Location

265 N Liberty St, Powell, OH 43065-8870

(614) 793-0700

(614) 793-0084

Authorized Official

Miller, Jason M (Ceo)

(614) 793-0700

Provider Taxonomies

Code	Description	License
Code 152W00000X Primary	Description Optometrist Eye and Vision Services Providers	License 3677/T528 Ohio

Optometric Management Group Llc

(Eyecare Professionals Of Powell)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Cooley, San-San

Webster, David Matthew

Papp, Erin Marie

Theis, Kimberly S

Miller, Jason Richard

Kuhlmann, Tamara Mault

Hoepf, Marcia Elizabeth

Reed, Toni Lynn

Erin M. Papp, Od, Llc

Mayers Eye Solutions Llc