Individual provider Active NPI

Juan Francisco Lebron, MD

  • Retina Specialist (Ophthalmology) Physician
  • Westerville, OH
National Provider Identifier
1477521425
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
35077857 Issued in OH
Practice address
575 Charring Cross Dr
Suite 101
Westerville, OH 43081-4901
Phone
(614) 895-0679
Fax
(614) 895-0781
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 35077857 OH Primary
Ophthalmology Physician 207W00000X 35077857 OH

Addresses

Primary practice location

575 Charring Cross Dr
Suite 101
Westerville, OH 43081-4901

Mailing address

6591 W Central Ave
Suite 202
Toledo, OH 43617-1087
Phone (419) 517-6599

Other identifiers 4

IdentifierTypeStateIssuer
341196311OtherTAX IDENTIFICATION NUMBER
LE4017904OtherPTAN
000000209511OtherOHANTHEM
2188181MedicaidOH

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080618000411 OH Practitioner - Ophthalmology 3678656667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cei Physicians PSC, LLCGroup PAC ID 0749186427, 155 clinicians

Practice addresses (Care Compare)

575 Charring Cross Dr
Suite 101
Westerville, OH 43081-4959
Phone (513) 569-3741

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35077857OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC LLC Ophthalmology CurrentSince Aug 1, 2019 Accepting new patients
Cei Physicians PSC, LLC CurrentSince Aug 1, 2019 Accepting new patients
Cei Physicians PSC LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1945 Cei Dr
Blue Ash, OH 45242

24 Star Dr
Unit C
Chillicothe, OH 45601
Phone (740) 775-2047

5965 E Broad St
Ste 420
Columbus, OH 43213
Phone (614) 868-5185

855 W Market St
Ste F
Lima, OH 45805
Phone (419) 227-6181

2865 N Reynolds Rd
Ste 230
Toledo, OH 43615
Phone (419) 578-4367

575 Charring Cross Dr
Ste 101
Westerville, OH 43081
Phone (614) 794-1505

Interoperability endpoints

  • Direct secure messaging: juan.lebron.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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1477521425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6591 W CENTRAL AVE",
            "address_2": "SUITE 202",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171087",
            "telephone_number": "419-517-6599",
            "fax_number": "419-517-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 CHARRING CROSS DR",
            "address_2": "SUITE 101",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814901",
            "telephone_number": "614-895-0679",
            "fax_number": "614-895-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBRON",
        "first_name": "JUAN",
        "middle_name": "FRANCISCO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OH",
            "license": "35077857",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35077857",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "341196311",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "LE4017904",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000209511",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2188181",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.