Individual provider Active NPI

Brooke Radcliffe

  • Optometrist
  • Fort Thomas, KY
National Provider Identifier
1003605114
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2455DT Issued in KY
Practice address
92 Alexandria Pike
Fort Thomas, KY 41075-1729
Phone
(859) 781-2000
Fax
(859) 781-8122
NPI assigned
May 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2455DT KY Primary

Addresses

Primary practice location

92 Alexandria Pike
Fort Thomas, KY 41075-1729

Mailing address

92 Alexandria Pike
Fort Thomas, KY 41075-1729
Phone (859) 781-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250724000565 OH Practitioner - Optometry 7012423163 Reassigns benefits to 1 organization
I20250731001774 KY Practitioner - Optometry 7012423163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cei Physicians PSC, LLCGroup PAC ID 0749186427, 155 clinicians

Practice addresses (Care Compare)

1945 Cei Dr
Blue Ash, OH 45242-5664
Phone 51398451333741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.007416OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC LLC Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Sunderman Dowdall Optometrist Current Accepting new patients
Cei Physicians PSC LLC CurrentSince Jul 18, 2025 Accepting new patients
Cei Physicians PSC, LLC CurrentSince Jul 1, 2025 Accepting new patients
Cei Physicians PSC LLC Past Accepting new patients

Locations

580 S Loop Rd
Ste 200
Edgewood, KY 41017
Phone (859) 331-9000

92 Alexandria Pike
Fort Thomas, KY 41075
Phone (859) 441-3400

9997 Carver Rd
Ste 200
Blue Ash, OH 45242

1945 Cei Dr
Blue Ash, OH 45242

601 Ivy Gtwy
Ste 301
Cincinnati, OH 45245
Phone (513) 654-2299

6150 Radio Way
Mason, OH 45040
Phone (513) 770-4020

5850 Innovation Dr
Middletown, OH 45005
Phone 5134259796 ext. 59796

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1003605114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 ALEXANDRIA PIKE",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751729",
            "telephone_number": "859-781-2000",
            "fax_number": "859-781-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 ALEXANDRIA PIKE",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751729",
            "telephone_number": "859-781-2000",
            "fax_number": "859-781-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADCLIFFE",
        "first_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2455DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Thomas, KY

Sources for this page

Verify at the official NPI Registry.