Organization Active NPI

Cincinnati Vision Group LLC

  • Optometrist
  • Liberty Township, OH
National Provider Identifier
1346696093
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5432 Issued in OH
Legal business name
CINCINNATI VISION GROUP LLC
Practice address
7630 Blake St
Liberty Township, OH 45069
Phone
(513) 349-4327
NPI assigned
May 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Authorized official

Name
Tonya D Lindsell, ODNPI 1205800133
Title
Provider
Phone
(513) 793-5970

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 5432 OH Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4856 OH

Addresses

Primary practice location

7630 Blake St
Liberty Township, OH 45069

Mailing address

7630 Blake St
Liberty Township, OH 45069

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170420001626 OH Part B Supplier - Clinic/Group Practice 8820374150 Receives reassigned benefits from 5 practitioners
Practice locations: Liberty Township, OH

National Provider Directory

National Provider Directory

Locations

7630 Blake St
Liberty Township, OH 45069
Phone (513) 712-5064

Practitioners & affiliated clinicians

Practitioners 6

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": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1346696093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 BLAKE ST",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "45069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 BLAKE ST",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "45069",
            "telephone_number": "513-349-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI VISION GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "LINDSELL",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "513-793-5970",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5432",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.