Individual provider Active NPI

Andriena Erickson, OD

  • Optometrist
  • Dayton, OH
National Provider Identifier
1316035009
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5365 Issued in OH
Practice address
89 Sylvania Dr
Dayton, OH 45440-3281
Phone
(937) 320-2020
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5365 OH Primary

Addresses

Primary practice location

89 Sylvania Dr
Dayton, OH 45440-3281

Mailing address

89 Sylvania Dr
Dayton, OH 45440-3281
Phone (937) 320-2020

Other identifiers 2

IdentifierTypeStateIssuer
1316035009OtherOHNPI
2416433MedicaidOH

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
I20040225000607 OH Practitioner - Optometry 0547156606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cei Physicians PSC, LLCGroup PAC ID 0749186427, 155 clinicians

Practice addresses (Care Compare)

89 Sylvania Dr
Beavercreek, OH 45440-3281
Phone (513) 569-3741

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5365OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC LLC Optometrist CurrentSince Feb 1, 2019 Accepting new patients
Cei Physicians PSC, LLC CurrentSince Feb 1, 2019 Accepting new patients
Cei Physicians PSC LLC Past Accepting new patients

Locations

1945 Cei Dr
Blue Ash, OH 45242

77 E Woodbury Dr
Dayton, OH 45415
Phone (937) 276-2020

80 E Woodbury Dr
Dayton, OH 45415
Phone (937) 320-2020

89 Sylvania Dr
Dayton, OH 45440
Phone (937) 320-2020

77 E Woodbury Dr
Ste 100
Dayton, OH 45415
Phone (937) 274-2117

Interoperability endpoints

  • Direct secure messaging: andriena.erickson.p1@direct.cei.nextgenshare.com

Organizations & group practices 3

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1316035009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 SYLVANIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403281",
            "telephone_number": "937-320-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 SYLVANIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403281",
            "telephone_number": "937-320-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "ANDRIENA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316035009",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2416433",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.