Organization Active NPI

Sifri Eye Center, LTD, LLC

  • Specialist
  • Cincinnati, OH
National Provider Identifier
1396838215
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-07-0204-S Issued in OH
Legal business name
SIFRI EYE CENTER, LTD, LLC
Practice address
2745 Anderson Ferry Rd
Cincinnati, OH 45238-2100
Phone
(513) 922-1550
Fax
(513) 922-1572
NPI assigned
Oct 2, 2006
Organization subpart
Yes
Parent organization
SIFRI EYE CENTER, LTD, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Michael David Sifri, M.D.
Title
Owner
Phone
(513) 922-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35-07-0204-S OH Primary

Addresses

Primary practice location

2745 Anderson Ferry Rd
Cincinnati, OH 45238-2100

Mailing address

2745 Anderson Ferry Rd
Cincinnati, OH 45238-2100
Phone (513) 922-1550

Other identifiers 1

IdentifierTypeStateIssuer
0249145MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051212000831 OH Part B Supplier - Clinic/Group Practice 6709807282 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory
Part of
Sifri Eye Center LTD LLC

Locations

2745 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1550

Practitioners & affiliated clinicians

Practitioners 2

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1396838215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 ANDERSON FERRY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382100",
            "telephone_number": "513-922-1550",
            "fax_number": "513-922-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 ANDERSON FERRY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382100",
            "telephone_number": "513-922-1550",
            "fax_number": "513-922-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIFRI EYE CENTER, LTD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIFRI EYE CENTER, LTD, LLC",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "SIFRI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-922-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-07-0204-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249145",
            "state": "OH"
        }
    ],
    "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 Jan 11, 2012; 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.