Individual provider Active NPI

Jennifer Michelle Michael, O.D.

  • Optometrist
  • Florence, KY
National Provider Identifier
1326480278
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1916DT Issued in KY
Practice address
8537 US Highway 42 Ste 4
Florence, KY 41042-4796
Phone
(859) 282-0911
NPI assigned
Jul 19, 2013
Last updated
Sep 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1916DT KY Primary
Optometrist 152W00000X 6213 OH

Addresses

Primary practice location

8537 US Highway 42 Ste 4
Florence, KY 41042-4796

Mailing address

8537 US Highway 42 Ste 4
Florence, KY 41042-4796
Phone (859) 282-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131212001569 OH Practitioner - Optometry 2961639216 Reassigns benefits to 1 organization
I20150511001242 KY Practitioner - Optometry 2961639216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Ohio, LLCGroup PAC ID 7719211010, 72 clinicians

Practice addresses (Care Compare)

8254 Mayberry SQ N
Sylvania, OH 43560-9457
Phone (419) 885-5300

8537 US Hwy 42
Suite 4F
Florence, KY 41042-4796
Phone (859) 282-0911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6213OHMDRegistered Dietitian
1916DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Kentucky, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Kentucky, PLLC Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Myeyedr Optometry of Kentucky, PLLC Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Jul 15, 2019 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Jul 15, 2019 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Past Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients
Wing Eyecare, Inc. Optometrist Past Accepting new patients

Locations

8537 US Highway 42
Ste 4F
Florence, KY 41042
Phone (812) 584-8249

142 Pavilion Pkwy
Newport, KY 41071
Phone (859) 291-9464

12094 Montgomery Rd
Cincinnati, OH 45249
Phone (513) 774-0999

1351 E Kemper Rd
Cincinnati, OH 45246
Phone (513) 771-9800

5303 Glenway Ave
Cincinnati, OH 45238
Phone (513) 921-8040

8315 Beechmont Ave
Ste 33
Cincinnati, OH 45255
Phone (513) 474-4444

8340 Colerain Ave
Cincinnati, OH 45239
Phone (513) 245-9099

768 NW Washington Blvd
Hamilton, OH 45013
Phone (513) 893-8816

7334 Yankee Rd
Liberty Township, OH 45044
Phone (513) 759-9464

8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 9

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": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1326480278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8537 US HIGHWAY 42 STE 4",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424796",
            "telephone_number": "859-282-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8537 US HIGHWAY 42 STE 4",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424796",
            "telephone_number": "859-282-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1916DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.