Mackenzie May Gershom, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.007062 Issued in OH

Practice address

5965 E Broad St Ste 480
Columbus, OH 43213-1562

Phone

(614) 751-4070

NPI assigned

May 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Reserve Eye Associates IncGroup PAC ID 1456391655, 3 clinicians

Northeast Ohio Eye Surgeons IncGroup PAC ID 3577537042, 32 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as apm

Quality

86.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgershom@clevelandeyeclinic.intellechartdirect.net
• Direct secure messaging: mackenzie.germshom.p1@direct.cei.nextgenshare.com

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.

• Northeast Ohio Eye Surgeons, Inc.

  • Optometrist
  • Kent, OH
  • NPI 1932208733
  Medicare reassignment Care Compare group NPD
• Western Reserve Eye Associates, Inc.

  • Specialist
  • Streetsboro, OH
  • NPI 1821000753

  Optometrist

  Medicare reassignment Care Compare group NPD
• Cei Physicians PSC LLC

  • Ophthalmology Physician
  • Cincinnati, OH
  • NPI 1942296298

  Optometrist

  Medicare reassignment NPD
• Northern Ohio Eye Consultants Inc

  • Ophthalmology Physician
  • Cleveland, OH
  • NPI 1386752558
  Medicare reassignment NPD
• Cei Physicians PSC, LLC

  • Ambulatory Surgical Clinic/Center
  • Richmond Heights, OH
  • NPI 1891406328
  NPD
• Northeast Ohio Eye Surgeons, Inc.

  • Ophthalmology Physician
  • Medina, OH
  • NPI 1093316671

  Optometrist

  NPD
• Northeast Ohio Eye Surgeons, Inc.

  • Ophthalmology Physician
  • Akron, OH
  • NPI 1871888669

  Optometrist

  NPD
• Northern Ohio Eye Consultants Inc

  • Optometrist
  • Lorain, OH
  • NPI 1629057716
  NPD
• Cei Physicians PSC LLC

  • Ophthalmologic Surgery Clinic/Center
  • Blue Ash, OH
  • NPI 1790772804
  NPD (past)

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1386382877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 TANSY CT",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782678",
            "telephone_number": "330-786-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 E BROAD ST STE 480",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131562",
            "telephone_number": "614-751-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHOM",
        "first_name": "MACKENZIE",
        "middle_name": "MAY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Germany
• Mary Germany
• Christopher Lewis Germon, ACNPC-AG
• Kyriaki Gerogiorgis-Shaffer
• Emily Gerry
• Kaitlin Gerski, RN
• Sophia Gersper
• Lucia C Gerstmann, DDS
• Michael L Gersz, LPC, LICDC
• Ryan James Gertz, MD

• Optometrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.