Individual provider Active NPI

Brian Wollocko, MD

  • Ophthalmology Physician
  • Mason, OH
National Provider Identifier
1265182190
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.155407 Issued in OH
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

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260415001755 KY Practitioner - Ophthalmology 1456827781 Reassigns benefits to 1 organization
I20260505002179 OH Practitioner - Ophthalmology 1456827781 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
35.155407OHMDOphthalmology 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.

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

Verify at the official NPI Registry.