Individual provider Active NPI

Adrianne S Dirr, OD

  • Optometrist
  • Middletown, OH
National Provider Identifier
1093905606
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5744 Issued in OH
Practice address
4102 Roosevelt Blvd
Middletown, OH 45044
Phone
(513) 425-0817
Fax
(513) 425-7101
NPI assigned
Jul 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5744 OH Primary

Addresses

Primary practice location

4102 Roosevelt Blvd
Middletown, OH 45044

Mailing address

4102 Roosevelt Blvd
Middletown, OH 45044
Phone (513) 425-0817

Other identifiers 1

IdentifierTypeStateIssuer
11770032OtherCAQH

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
I20071026000552 OH Practitioner - Optometry 3476640236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eye Solutions, IncGroup PAC ID 8224940697, 2 clinicians

Practice addresses (Care Compare)

4102 Roosevelt Blvd
Middletown, OH 45044-3699
Phone (513) 425-0817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Solutions, Inc Optometrist CurrentSince Apr 30, 2013 Accepting new patients
Wing Eyecare, Inc. Optometrist Past Accepting new patients
Wing Eyecare, Inc. Optometrist Past Accepting new patients

Locations

4102 Roosevelt Blvd
Middletown, OH 45044
Phone (513) 425-0817

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1093905606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 ROOSEVELT BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "45044",
            "telephone_number": "513-425-0817",
            "fax_number": "513-425-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 ROOSEVELT BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "45044",
            "telephone_number": "513-425-0817",
            "fax_number": "513-425-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRR",
        "first_name": "ADRIANNE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11770032",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.