Active NPI
Eric Syverson, O.D.
- Optometrist
- Blue Ash, OH
National Provider Identifier
1174937056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6324
- Practice address
- 1945 Cei Dr
Blue Ash, OH 45242-5664 - Phone
- (513) 984-5133
- NPI assigned
- Jun 18, 2014
- Last updated
- Jun 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6324 | OH | Primary |
Addresses
Primary practice location
1945 Cei Dr
Blue Ash, OH 45242-5664
Mailing address
7 Peartree LN NE
Grand Rapids, MI 49546-1462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1124 S State St
University Eye Center
Big Rapids, MI 49307-2256
Phone (231) 591-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6324 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ferris State University | Current | Accepting new patients | |
| Ferris State University | Optometrist | Current | Accepting new patients |
| Paul H Cook | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- drsyverson@cutlereye.direct.eyemdemr.com
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.
-
- Optometrist
- Frisco, CO
- NPI 1851349666
-
dba University Eye Center
- Ophthalmology Physician
- Big Rapids, MI
- NPI 1477574101
-
- Optometrist
- Frisco, CO
- NPI 1528262532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1174937056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 PEARTREE LN NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495461462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 CEI DR",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452425664",
"telephone_number": "513-984-5133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYVERSON",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-18",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "6324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.