Organization
COLUMBUS EYEWORKS LLC
Active
Other names
Columbus Eyeworks
Organization subpart
No
Provider details
NPI number
Authorized official
KURT BENNETT OD (PRESIDENT)
(614) 421-2020
Entity
Organization
Contact information
Practice address
25 W HUBBARD AVE, COLUMBUS, OH 43215-1410
(614) 421-2020
(614) 421-9115
Mailing address
1127 N HIGH ST, COLUMBUS, OH 43201-2441
(614) 421-2020
(614) 421-9115
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3759/T520
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000134652
BLUE CROSS/BLUE SHIELD PIN
OH
01
—
1669545042
INDIVIDUAL NPI (TYPE 1) FOR DANIEL J. KOCH, O.D.
OH
01
—
293522321008
MEDICAL MUTUAL OF OHIO PIN
OH
01
—
4628497
AETNA PIN
OH
05
—
821114
—
OH
Enumeration date
04/22/2008
Last updated
12/04/2025
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