Individual provider Active NPI

Ame Nicole Cline, OD

  • Optometrist
  • Delaware, OH
National Provider Identifier
1013170380
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5786 Issued in OH
Practice address
3769 Columbus Pike Ste 115
Delaware, OH 43015-7213
Phone
(740) 761-2020
Fax
(614) 781-8895
NPI assigned
Jul 8, 2008
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5786 OH Primary

Addresses

Primary practice location

3769 Columbus Pike Ste 115
Delaware, OH 43015-7213

Mailing address

3769 Columbus Pike Ste 115
Delaware, OH 43015-7213
Phone (407) 612-0200

Other names 1

  • Ms. Ame Nicole Richardson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080924000046 OH Practitioner - Optometry 0446327035 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3769 Columbus Pike
Suite 115
Delaware, OH 43015-7213
Phone (740) 761-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sightrite Oh LLC Optometrist CurrentSince Apr 1, 2022 Accepting new patients
Muirfield Eye Care Center, Inc. Optometrist CurrentSince Aug 25, 2010 Accepting new patients

Locations

267 Broadway
#2
Brooklyn, NY 11211

6105 Memorial Dr
Dublin, OH 43017
Phone (614) 793-8440

6505 Market St
Youngstown, OH 44512
Phone (330) 726-2100

Interoperability endpoints

  • Direct secure messaging: ame.cline.1@16701.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1013170380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3769 COLUMBUS PIKE STE 115",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157213",
            "telephone_number": "407-612-0200",
            "fax_number": "614-781-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3769 COLUMBUS PIKE STE 115",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157213",
            "telephone_number": "740-761-2020",
            "fax_number": "614-781-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "AME",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AME",
            "last_name": "RICHARDSON",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Delaware, OH

Sources for this page

Verify at the official NPI Registry.