Individual provider Active NPI

Jessica D Hildenbrand, OD

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1477592384
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4938T1808 Issued in OH
Practice address
1945 Cei Drive
Cincinnati, OH 45242-3311
Phone
(513) 569-3741
Fax
(513) 569-3941
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1410DT KY
Optometrist 152W00000X 4938T1808 OH Primary

Addresses

Primary practice location

1945 Cei Drive
Cincinnati, OH 45242-3311

Mailing address

4445 Lake Forest Dr
Ste 600
Blue Ash, OH 45242-3744
Phone (513) 569-3741

Other identifiers 5

IdentifierTypeStateIssuer
77540359MedicaidKY
2037114MedicaidOH
410037092OtherOHRAILROAD MEDICARE
200196940MedicaidIN
000000020793OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080625000461 KY Practitioner - Optometry 9335210988 Reassigns benefits to 1 organization
I20111103000383 OH Practitioner - Optometry 9335210988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cei Physicians PSC, LLCGroup PAC ID 0749186427, shared by 6 NPIs, 155 clinicians

Practice addresses (Care Compare)

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

580 S Loop Rd
Suite 200
Edgewood, KY 41017-3415
Phone 51398451333741

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

State licenses

LicenseStateTypeSpecialty
4938T1808OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC LLC Optometrist CurrentSince Jul 1, 1998 Accepting new patients
Cei Physicians PSC LLC CurrentSince Jun 1, 2008 Accepting new patients
Cei Physicians PSC, LLC CurrentSince Jul 1, 1998 Accepting new patients
Innovative Vision LLC Optometrist PastSince Jun 9, 2024 Accepting new patients
Cei Physicians PSC LLC Past Accepting new patients
Innovative Vision LLC Optometrist PastSince Apr 3, 2004 Accepting new patients

Locations

580 S Loop Rd
Edgewood, KY 41017
Phone (859) 301-6000

580 S Loop Rd
Ste 200
Edgewood, KY 41017
Phone (859) 331-9000

7388 Turfway Rd
Florence, KY 41042
Phone (606) 331-9000

1945 Cei Dr
Blue Ash, OH 45242

222 Piedmont Ave
Ste 1600
Cincinnati, OH 45219
Phone (513) 475-7294

Interoperability endpoints

  • Direct secure messaging: jessica.hildenbrand.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1477592384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 LAKE FOREST DR",
            "address_2": "STE 600",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423744",
            "telephone_number": "513-569-3741",
            "fax_number": "513-569-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 CEI DRIVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423311",
            "telephone_number": "513-569-3741",
            "fax_number": "513-569-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDENBRAND",
        "first_name": "JESSICA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1410DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4938T1808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77540359",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2037114",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410037092",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200196940",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000020793",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.