Individual provider Active NPI

Elliot Marc Kirstein, O.D.

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1235226085
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3248-T514 Issued in OH
Practice address
8211 Cornell Road
Suite 510
Cincinnati, OH 45249-2235
Phone
(513) 530-0440
Fax
(513) 530-0473
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3248-T514 OH Primary
Optometrist 152W00000X 3248 OH

Addresses

Primary practice location

8211 Cornell Road
Suite 510
Cincinnati, OH 45249-2235

Mailing address

8211 Cornell Rd
Suite 510
Cincinnati, OH 45249-2235
Phone (513) 530-0440

Other identifiers 1

IdentifierTypeStateIssuer
0309768MedicaidOH

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
I20100210000654 OH Practitioner - Optometry 3577510841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

33541 Aurora Rd
Solon, OH 44139-3705
Phone (440) 248-2020

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3248OHMDOptometrist
3248-T514OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Feb 19, 2020 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Feb 19, 2020 Accepting new patients

Locations

8211 Cornell Rd
Ste 510
Cincinnati, OH 45249
Phone (513) 489-4000

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1235226085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 CORNELL RD",
            "address_2": "SUITE 510",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492235",
            "telephone_number": "513-530-0440",
            "fax_number": "513-530-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 CORNELL ROAD",
            "address_2": "SUITE 510",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492235",
            "telephone_number": "513-530-0440",
            "fax_number": "513-530-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSTEIN",
        "first_name": "ELLIOT",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3248-T514",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3248",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0309768",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.