Individual provider Active NPI

Brennen Ritter Yaquinto, OD

  • Optometrist
  • Columbus, OH
National Provider Identifier
1467944678
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006674 Issued in OH
Practice address
1500 Polaris Pkwy
Columbus, OH 43240-2126
Phone
(614) 885-3937
NPI assigned
Jun 4, 2018
Last updated
Jun 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006674 OH Primary

Addresses

Primary practice location

1500 Polaris Pkwy
Columbus, OH 43240-2126

Mailing address

267 Frankfort SQ
Columbus, OH 43206-1059
Phone (330) 958-4314

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
I20200817003213 OH Practitioner - Optometry 9638595994 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cei Physicians PSC, LLCGroup PAC ID 0749186427, 155 clinicians
Thomas G Ritter OD IncGroup PAC ID 2365480944, 6 clinicians

Practice addresses (Care Compare)

1945 Cei Dr
Blue Ash, OH 45242-5664
Phone 51398451333741

2091 W US
Suite 3
Maineville, OH 45039-9241
Phone (513) 677-8866

9912 Carver Rd
Suite 101
Blue Ash, OH 45242-5541
Phone (513) 984-0202

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Thomas G Ritter and Dr, Mark J Hagee, Optometrists, Inc Optometrist CurrentSince Jan 19, 2021 Accepting new patients
Thomas G Ritter OD Inc Optometrist CurrentSince May 14, 2020 Accepting new patients
Cei Physicians PSC, LLC CurrentSince Aug 11, 2020 Accepting new patients
Cei Physicians PSC LLC Optometrist CurrentSince Aug 11, 2020 Accepting new patients
Optometric Management Group LLC Optometrist Past Accepting new patients
Cei Physicians PSC LLC Past Accepting new patients

Locations

1945 Cei Dr
Blue Ash, OH 45242

9912 Carver Rd
Ste 101
Blue Ash, OH 45242
Phone (513) 793-5070

2091 W US Highway 22 and 3
Maineville, OH 45039
Phone (513) 677-8866

5850 Innovation Dr
Middletown, OH 45005
Phone (513) 425-9796

Interoperability endpoints

  • Direct secure messaging: brennen.yaquinto.p1@direct.cei.nextgenshare.com

Organizations & group practices 6

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1467944678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 FRANKFORT SQ",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432061059",
            "telephone_number": "330-958-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 POLARIS PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402126",
            "telephone_number": "614-885-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAQUINTO",
        "first_name": "BRENNEN",
        "middle_name": "RITTER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.