Individual provider Active NPI

Mary Beth Yackey, OD

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1386694461
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5517T2429 Issued in OH
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

Updated by the provider on Mar 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00409747OtherOHRAILROAD MEDICARE
200830720MedicaidIN
2530701MedicaidOH
000000344873OtherBCBS FACET
7100062090MedicaidKY

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
I20060515000020 OH Practitioner - Optometry 3779594254 Reassigns benefits to 1 organization
I20080103000238 KY Practitioner - Optometry 3779594254 Reassigns benefits to 1 organization

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, LLCGroup PAC ID 0749186427, shared by 6 NPIs, 155 clinicians

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 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5517T2429OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC, LLC CurrentSince Aug 1, 2006 Accepting new patients
Cei Physicians PSC LLC CurrentSince Dec 1, 2007 Accepting new patients
Cei Physicians PSC LLC Optometrist CurrentSince Aug 1, 2006 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.