Individual provider Active NPI

Kaylin Marie Maxwell, OD, MS

  • Optometrist
  • Dublin, OH
National Provider Identifier
1023817913
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007363 Issued in OH
Practice address
5155 Bradenton Ave Ste 200
Dublin, OH 43017-7560
Phone
(614) 766-2006
NPI assigned
Mar 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007363 OH Primary

Addresses

Primary practice location

5155 Bradenton Ave Ste 200
Dublin, OH 43017-7560

Mailing address

2420 Hardesty Dr S
Columbus, OH 43204-2846

Other practice location 1

5965 E Broad St Ste 480
Columbus, OH 43213-1562
Phone (614) 751-4070

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
I20250605003441 OH Practitioner - Optometry 0042720476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
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)

5155 Bradenton Ave
Suite 200
Dublin, OH 43017-7560
Phone (614) 766-2006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OPT.007363OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC, LLC CurrentSince Jul 1, 2025 Accepting new patients
Cei Physicians PSC LLC Optometrist CurrentSince Jul 1, 2025 Accepting new patients

Locations

1945 Cei Dr
Blue Ash, OH 45242

5965 E Broad St
Ste 420
Columbus, OH 43213
Phone (614) 868-5185

5965 E Broad St
Ste 480
Columbus, OH 43213
Phone (614) 751-4070

5155 Bradenton Ave
Ste 200
Dublin, OH 43017
Phone (614) 526-6209

Interoperability endpoints

  • Direct secure messaging: kaylin.maxwell.p1@direct.cei.nextgenshare.com

Organizations & group practices 2

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": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1023817913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 HARDESTY DR S",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432042846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 BRADENTON AVE STE 200",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177560",
            "telephone_number": "614-766-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5965 E Broad St Ste 480",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131562",
            "country_code": "US",
            "telephone_number": "614-751-4070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "KAYLIN",
        "middle_name": "MARIE",
        "credential": "OD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.