Individual provider Active NPI

Karissa Carolyn Newsom, OD

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1154014603
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007156 Issued in OH
Practice address
2929 Highland Ave
Cincinnati, OH 45219-2463
Phone
(513) 559-3599
NPI assigned
May 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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.007156 OH Primary

Addresses

Primary practice location

2929 Highland Ave
Cincinnati, OH 45219-2463

Mailing address

3810 Enclave Ave Apt 9
Cincinnati, OH 45241-2995
Phone (513) 633-8052

Other practice location 1

1945 Cei Dr
Blue Ash, OH 45242-5664
Phone (513) 984-4513

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
I20240528001340 OH Practitioner - Optometry 9133561863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2023
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)

3310 Mercy Health Blvd
Suite 200
Cincinnati, OH 45211-1119
Phone 51398451333741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC, LLC CurrentSince Jul 5, 2024 Accepting new patients
Cei Physicians PSC LLC Optometrist CurrentSince Jul 5, 2024 Accepting new patients

Locations

1945 Cei Dr
Blue Ash, OH 45242

4760 Red Bank Rd
Ste 108
Cincinnati, OH 45227
Phone (513) 531-2020

6507 Harrison Ave
Unit E
Cincinnati, OH 45247
Phone (513) 661-3566

3310 Mercy Health Blvd
#200
Cincinnati, OH 45211

563 Wessel Dr
Fairfield, OH 45014
Phone (513) 858-6500

6150 Radio Way
Mason, OH 45040
Phone (513) 770-4020

Interoperability endpoints

  • Direct secure messaging: karissa.newsom.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": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1154014603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 ENCLAVE AVE APT 9",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412995",
            "telephone_number": "513-633-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 HIGHLAND AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192463",
            "telephone_number": "513-559-3599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 Cei Dr",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452425664",
            "country_code": "US",
            "telephone_number": "513-984-4513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "KARISSA",
        "middle_name": "CAROLYN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.