Individual provider Active NPI

Dana Kathleen Griesmer, OD

  • Optometrist
  • Rocky River, OH
National Provider Identifier
1417308388
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6458 Issued in OH
Practice address
21014 Center Ridge Rd
Rocky River, OH 44116-4305
Phone
(440) 331-4644
Fax
(440) 356-5046
NPI assigned
Jun 22, 2016
Last updated
Jun 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6458 OH Primary

Addresses

Primary practice location

21014 Center Ridge Rd
Rocky River, OH 44116-4305

Mailing address

15933 Clayton Rd Ste 201
Ballwin, MO 63011-2172
Phone (636) 200-4393

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170119000483 OH Practitioner - Optometry 6103108568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whitestar Professional CorporationGroup PAC ID 8921067224, 5 clinicians

Practice addresses (Care Compare)

2237 Crocker Rd
Suite 100
Westlake, OH 44145-7610
Phone (440) 892-3931

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6458OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Whitestar Professional Corporation Optometrist CurrentSince Apr 1, 2019 Accepting new patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Nov 27, 2016 Accepting new patients

Locations

2237 Crocker Rd
Ste 100
Westlake, OH 44145
Phone (440) 892-3931

Interoperability endpoints

  • Direct secure messaging: danagriesmer@direct.eyecare-partners.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1417308388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD STE 201",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21014 CENTER RIDGE RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441164305",
            "telephone_number": "440-331-4644",
            "fax_number": "440-356-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESMER",
        "first_name": "DANA",
        "middle_name": "KATHLEEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.