Provider Demographics
NPI:1346760139
Name:ODS CONSULTANTS LLC
Entity Type:Organization
Organization Name:ODS CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAOLO
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:CURSARO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:614-205-9204
Mailing Address - Street 1:50 W BROAD ST STE 231
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-5937
Mailing Address - Country:US
Mailing Address - Phone:614-224-8005
Mailing Address - Fax:
Practice Address - Street 1:50 W BROAD ST STE 231
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5937
Practice Address - Country:US
Practice Address - Phone:614-224-8005
Practice Address - Fax:614-224-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-22
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5179T2082152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1700917192OtherNPI
OHU85840Medicaid
OH5179T2082OtherOHIO STATE BOARD OF OPTOMETRY