Jeffrey Brock Cherry, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.006912 Issued in OH

Practice address

644 High St
Hamilton, OH 45011-6005

Phone

(513) 887-1100

Fax

(513) 887-2671

NPI assigned

May 26, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Optometry

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-del Vision Source, PLLCGroup PAC ID 3274768239, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

36.31 of 100Reported as group

Quality

72.61

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mid-del Vision Source, PLLC

  dba Vision Source Midwest City

  • Eyewear Supplier
  • Midwest City, OK
  • NPI 1982940508

  Optometrist

  Medicare reassignment Care Compare group NPD
• Thomas E Nye

  • Optometrist
  • Hamilton, OH
  • NPI 1144473331
  NPD
• Mid-del Vision Source PLLC

  dba Vision Source Del City

  • Eyewear Supplier
  • Del City, OK
  • NPI 1578907598

  Optometrist

  NPD

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1073136958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 SCHROEDER DR",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450118616",
            "telephone_number": "405-642-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 HIGH ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450116005",
            "telephone_number": "513-887-1100",
            "fax_number": "513-887-2671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2929 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192463",
            "country_code": "US",
            "telephone_number": "513-559-3599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "JEFFREY",
        "middle_name": "BROCK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-26",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Fortner Chatman, MD
• Chatterbox Speech Services LLC
• Patrick Chavis
• Bethany A Cherry-Tesnar
• Erneen Cherry
• Chetna Mital MD LLC
• Patricia Childers
• Children's Diagnostic Center, Inc.
• Childrens Diagnostic Center (CDC Mental Health Services)
• Annemarie Chiodi, MA, CCC-SLP

• Optometrist in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.