Active NPI
Mary Beth Yackey, OD
- Optometrist
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5517T2429
- Practice address
- 1945 Cei Dr
Cincinnati, OH 45242-3311 - Phone
- (513) 984-5133
- Fax
- (513) 469-0677
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5517T2429 | OH | Primary |
Addresses
Primary practice location
1945 Cei Dr
Cincinnati, OH 45242-3311
Mailing address
1945 Cei Dr
Cincinnati, OH 45242-3311
Phone (513) 984-5133
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00409747 | Other | OH | RAILROAD MEDICARE |
| 200830720 | Medicaid | IN | |
| 2530701 | Medicaid | OH | |
| 000000344873 | Other | BCBS FACET | |
| 7100062090 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cei Physicians PSC, LLC
Practice addresses (Care Compare)
1945 Cei Dr
Blue Ash, OH 45242-5664
Phone 51398451333741
580 S Loop Rd
Suite 200
Edgewood, KY 41017-3415
Phone 51398451333741
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5517T2429 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cei Physicians PSC, LLC | Current | Accepting new patients | |
| Cei Physicians PSC LLC | Current | Accepting new patients | |
| Cei Physicians PSC LLC | Optometrist | Current | Accepting new patients |
| Cei Physicians PSC LLC | Past | Accepting new patients |
Locations
580 S Loop Rd
Ste 200
Edgewood, KY 41017
Phone (859) 331-9000
580 S Loop Rd
Edgewood, KY 41017
Phone (859) 301-6000
9997 Carver Rd
Ste 200
Blue Ash, OH 45242
1945 Cei Dr
Blue Ash, OH 45242
5850 Innovation Dr
Middletown, OH 45005
Phone 5134259796 ext. 59796
4701 Central Ave
Middletown, OH 45044
Phone (513) 425-9796
10700 Montgomery Rd
Montgomery, OH 45242
Phone (513) 385-9600
Interoperability endpoints
- marybeth.yackey.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.
-
dba Cincinnati Eye Institute
- Ophthalmology Physician
- Cincinnati, OH
- NPI 1942296298
Optometrist
-
- Ophthalmology Physician
- Edgewood, KY
- NPI 1033108592
-
dba Cleveland Surgical Suites
- Ambulatory Surgical Clinic/Center
- Richmond Heights, OH
- NPI 1891406328
-
dba CVP Surgery Center
- Ophthalmologic Surgery Clinic/Center
- Blue Ash, OH
- NPI 1790772804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238457600000",
"number": "1386694461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 CEI DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452423311",
"telephone_number": "513-984-5133",
"fax_number": "513-469-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 CEI DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452423311",
"telephone_number": "513-984-5133",
"fax_number": "513-469-0677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YACKEY",
"first_name": "MARY",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2009-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5517T2429",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00409747",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200830720",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2530701",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FACET",
"identifier": "000000344873",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100062090",
"state": "KY"
}
],
"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 Mar 31, 2009; 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.