Organization Active NPI

McFadyen Family Eyecare, Inc.

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1326213877
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4997 Issued in OH
Legal business name
MCFADYEN FAMILY EYECARE, INC.
Practice address
4424 Aicholtz Rd Ste H
Cincinnati, OH 45245-1560
Phone
(513) 752-2100
Fax
(513) 752-4300
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Authorized official

Name
Dr. Carisa McFadyen, O.D.NPI 1194723767
Title
President
Phone
(513) 752-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4997 OH Primary

Addresses

Primary practice location

4424 Aicholtz Rd Ste H
Cincinnati, OH 45245-1560

Mailing address

4424 Aicholtz Rd Ste H
Cincinnati, OH 45245-1560
Phone (513) 752-2100

Other identifiers 1

IdentifierTypeStateIssuer
2536992MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050201000308 OH Part B Supplier - Clinic/Group Practice 2264482850 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

4424 Aicholtz Rd
Ste H
Cincinnati, OH 45245
Phone (513) 752-2100

4440 Glen Este Withamsville Rd
Ste 1150
Cincinnati, OH 45245
Phone (513) 752-2100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1326213877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 AICHOLTZ RD STE H",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451560",
            "telephone_number": "513-752-2100",
            "fax_number": "513-752-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 AICHOLTZ RD STE H",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451560",
            "telephone_number": "513-752-2100",
            "fax_number": "513-752-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCFADYEN FAMILY EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "MCFADYEN",
        "authorized_official_first_name": "CARISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-752-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2536992",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.