Individual provider Active NPI

Sean Claffie, O.D.

  • Optometrist
  • Monroe, OH
National Provider Identifier
1093781213
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC0003100 Issued in FL
Practice address
402 Premium Outlets Dr
Monroe, OH 45050-1832
Phone
(513) 360-0113
Fax
(513) 360-0133
NPI assigned
Feb 27, 2006
Last updated
Jun 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC0003100 FL Primary
Occupational Vision Optometrist 152WX0102X OPC0003100 FL

Addresses

Primary practice location

402 Premium Outlets Dr
Monroe, OH 45050-1832

Mailing address

402 Premium Outlets Dr
Monroe, OH 45050-1832
Phone (513) 360-0113

Other identifiers 2

IdentifierTypeStateIssuer
4296971OtherOHPTAN
620328101MedicaidFL

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
I20100825000789 OH Practitioner - Optometry 5294821211 Reassigns benefits to 1 organization
I20150121001324 KY Practitioner - Optometry 5294821211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Claffie and AssociatesGroup PAC ID 2365566510, 6 clinicians

Practice addresses (Care Compare)

402 Premium Outlets Dr
Monroe, OH 45050-1832
Phone (513) 360-0113

9998 Kings Auto Mall Rd
Cincinnati, OH 45249-8234
Phone (513) 683-9710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
OPC0003100FLMDOccupational Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Claffie and Associates Optometrist CurrentSince Jul 1, 2010 Accepting new patients
Dr Claffie and Associates Optometrist CurrentSince Jul 1, 2010 Accepting new patients
Dr. Claffie and Associates, O.D., P.a. Optometrist PastSince Dec 22, 2009 Accepting new patients
Dr Claffie and Associates Optometrist PastSince Jul 1, 2010 Accepting new patients

Locations

402 Premium Outlets Dr
Monroe, OH 45050
Phone (513) 360-0113

Organizations & group practices 4

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1093781213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 PREMIUM OUTLETS DR",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450501832",
            "telephone_number": "513-360-0113",
            "fax_number": "513-360-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 PREMIUM OUTLETS DR",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450501832",
            "telephone_number": "513-360-0113",
            "fax_number": "513-360-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAFFIE",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC0003100",
            "primary": true
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "FL",
            "license": "OPC0003100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "4296971",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620328101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, OH

Sources for this page

Verify at the official NPI Registry.