Individual provider Active NPI

Troy D Bornhorst, O.D.

  • Optometrist
  • Elyria, OH
National Provider Identifier
1316950876
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5460 T2372 Issued in OH
Practice address
833 E Broad St
Elyria, OH 44035-6557
Phone
(440) 366-6969
Fax
(440) 366-9513
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

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 5460 T2372 OH Primary

Addresses

Primary practice location

833 E Broad St
Elyria, OH 44035-6557

Mailing address

2740 Carnegie Ave
Cleveland, OH 44115-2627
Phone (216) 621-6132

Other identifiers 1

IdentifierTypeStateIssuer
2498524MedicaidOH

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
I20040823001383 OH Practitioner - Optometry 5991779233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2004
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)

1945 Cei Dr
Blue Ash, OH 45242-5664
Phone 51398451333741

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
5460 T2372OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC, LLC CurrentSince Dec 15, 2020 Accepting new patients
Cei Physicians PSC LLC Optometrist CurrentSince Dec 15, 2020 Accepting new patients
Cei Physicians PSC LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1449 S Main St
Bellefontaine, OH 43311
Phone (513) 592-6321

1945 Cei Dr
Blue Ash, OH 45242

1219 Recker Rd
Piqua, OH 45356
Phone (937) 492-3755

1118 Fairington Dr
Sidney, OH 45365
Phone (937) 492-3755

1155 State Route 303
Streetsboro, OH 44241
Phone (330) 422-2020

180 S Stanfield Rd
Troy, OH 45373
Phone (937) 335-3933

180 S Stanfield Rd
Ste C
Troy, OH 45373

Interoperability endpoints

  • Direct secure messaging: troy.bornhorst.p1@direct.cei.nextgenshare.com

Organizations & group practices 4

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316950876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152627",
            "telephone_number": "216-621-6132",
            "fax_number": "216-621-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356557",
            "telephone_number": "440-366-6969",
            "fax_number": "440-366-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNHORST",
        "first_name": "TROY",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5460 T2372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2498524",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.