Individual provider Active NPI

Kristine Nachbor

  • Ophthalmology Physician
  • Independence, OH
National Provider Identifier
1053040915
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.155868 Issued in OH
Practice address
6701 Rockside Rd Ste 300
Independence, OH 44131-2316
Phone
(216) 574-8900
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35.155868 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X 4351048929 MI

Addresses

Primary practice location

6701 Rockside Rd Ste 300
Independence, OH 44131-2316

Mailing address

6701 Rockside Rd Ste 300
Independence, OH 44131-2316
Phone (216) 574-8900

Other practice location 1

35010 Chardon Rd Bldg IV
Willoughby Hills, OH 44094-9010
Phone (216) 574-8900

Other practice location 2

1000 Wall St
Ann Arbor, MI 48105-1912
Phone (734) 763-8122

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260612000867 OH Practitioner - Ophthalmology 1456731629

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Minnesota Medical School, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35.155868OHMDOphthalmology Physician
4351048929MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC LLC Past Accepting new patients
Cataract Eye Center of Cleveland, Inc Past Accepting new patients

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1053040915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD STE 300",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312316",
            "telephone_number": "216-574-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD STE 300",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312316",
            "telephone_number": "216-574-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35010 Chardon Rd Bldg IV",
            "address_purpose": "LOCATION",
            "city": "Willoughby Hills",
            "state": "OH",
            "postal_code": "440949010",
            "country_code": "US",
            "telephone_number": "216-574-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Wall St",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481051912",
            "country_code": "US",
            "telephone_number": "734-763-8122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NACHBOR",
        "first_name": "KRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.155868",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4351048929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.