Active NPI
Brian Wollocko, MD
- Ophthalmology Physician
- Mason, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35.155407
- Practice address
- 6150 Radio Way
Mason, OH 45040-4520 - Phone
- (513) 984-5133
- NPI assigned
- Mar 24, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Ophthalmology Physician | 207W00000X | 35.155407 | OH | Primary |
Addresses
Primary practice location
6150 Radio Way
Mason, OH 45040-4520
Mailing address
2601 Ocean Pkwy
Brooklyn, NY 11235-7791
Phone (718) 616-3000
Other practice location 1
5850 Innovation Dr
Middletown, OH 45005-5188
Phone (513) 984-5133
Other practice location 2
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-3000
Other practice location 3
5240 E Galbraith Rd Ste B
Cincinnati, OH 45236-2879
Phone (513) 984-5133
Other practice location 4
222 Piedmont Ave Ste 4000
Cincinnati, OH 45219-4239
Phone (513) 984-5133
Other practice location 5
1945 Cei Dr
Blue Ash, OH 45242-5664
Phone (513) 984-5133
Other practice location 6
601 Ivy Gtwy Ste 301
Cincinnati, OH 45245-1899
Phone (513) 984-5133
Other practice location 7
3130 Highland Ave
Cincinnati, OH 45219-2399
Phone (513) 584-5461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
109 Sheldrake Ave
Port Jefferson, NY 11777-1311
3200 Burnet Ave
Cincinnati, OH 45229-3028
PO Box
Dallas, TX 75320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.155407 | OH | MD | Ophthalmology Physician |
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.
-
- Ophthalmology Physician
- Cincinnati, OH
- NPI 1942296298
-
- Ophthalmology Physician
- Edgewood, KY
- NPI 1033108592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1265182190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 OCEAN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357791",
"telephone_number": "718-616-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6150 RADIO WAY",
"city": "MASON",
"state": "OH",
"postal_code": "450404520",
"telephone_number": "513-984-5133"
}
],
"practiceLocations": [
{
"address_1": "5850 Innovation Dr",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450055188",
"country_code": "US",
"telephone_number": "513-984-5133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2601 Ocean Pkwy",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112357745",
"country_code": "US",
"telephone_number": "718-616-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5240 E Galbraith Rd Ste B",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452362879",
"country_code": "US",
"telephone_number": "513-984-5133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 Piedmont Ave Ste 4000",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452194239",
"country_code": "US",
"telephone_number": "513-984-5133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1945 Cei Dr",
"address_purpose": "LOCATION",
"city": "Blue Ash",
"state": "OH",
"postal_code": "452425664",
"country_code": "US",
"telephone_number": "513-984-5133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 Ivy Gtwy Ste 301",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452451899",
"country_code": "US",
"telephone_number": "513-984-5133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3130 Highland Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452192399",
"country_code": "US",
"telephone_number": "513-584-5461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLLOCKO",
"first_name": "BRIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-24",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35.155407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.