Active NPI
Dana Kathleen Griesmer, OD
- Optometrist
- Rocky River, OH
National Provider Identifier
1417308388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6458
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 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
Enrollment records 1
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
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6458 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitestar Professional Corporation | Optometrist | Current | Accepting new patients |
| Clarkson Optometry Midwest Inc | Optometrist | Current | Accepting new patients |
Locations
2237 Crocker Rd
Ste 100
Westlake, OH 44145
Phone (440) 892-3931
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.