Organization Active NPI

Blue Ash Vision Center, LLC

  • Optometrist
  • Blue Ash, OH
National Provider Identifier
1245029958
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BLUE ASH VISION CENTER, LLC
Practice address
4854 Hunt Rd
Blue Ash, OH 45242-6911
Phone
(513) 891-6800
NPI assigned
May 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Gregory James Stucke, ODNPI 1689982704
Title
President
Phone
(513) 398-3886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4854 Hunt Rd
Blue Ash, OH 45242-6911

Mailing address

218 Reading Rd
Mason, OH 45040-1665
Phone (513) 398-3886

Other names 1

  • Foresight Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250714002025 OH Part B Supplier - Clinic/Group Practice 8426563057 Receives reassigned benefits from 4 practitioners
Practice locations: Blue Ash, OH

National Provider Directory

National Provider Directory

Locations

4854 Hunt Rd
Blue Ash, OH 45242
Phone (513) 891-6800

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1245029958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 READING RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401665",
            "telephone_number": "513-398-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4854 HUNT RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426911",
            "telephone_number": "513-891-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ASH VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "STUCKE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-398-3886",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foresight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.