Individual provider Active NPI

Michelle R. Pleiman, O.D.

  • Optometrist
  • Dayton, OH
National Provider Identifier
1265572580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH-4869 Issued in OH
Practice address
2300 Miamisburg Centerville Rd
Dayton, OH 45459-3722
Phone
(937) 475-0397
Fax
(937) 435-4668
NPI assigned
Feb 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OH-4869 OH Primary

Addresses

Primary practice location

2300 Miamisburg Centerville Rd
Dayton, OH 45459-3722

Mailing address

55 Thomas Dr
Springboro, OH 45066-8678
Phone (937) 475-0397

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
I20200622001689 OH Practitioner - Optometry 9931521978 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OH-4869OHMDOptometrist
2869OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Claffie and Associates Optometrist CurrentSince Jun 1, 2020 Accepting new patients
Dr Claffie and Associates Optometrist CurrentSince Jun 1, 2020 Accepting new patients

Locations

9998 Kings Auto Mall Rd
Cincinnati, OH 45249
Phone (513) 683-9710

402 Premium Outlets Dr
Monroe, OH 45050
Phone (513) 360-0113

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265572580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 THOMAS DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668678",
            "telephone_number": "937-475-0397",
            "fax_number": "934-435-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MIAMISBURG CENTERVILLE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593722",
            "telephone_number": "937-475-0397",
            "fax_number": "937-435-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEIMAN",
        "first_name": "MICHELLE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH-4869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.