Individual provider Active NPI

Charles Hickey, M.D.

  • Ophthalmology Physician
  • Columbus, OH
National Provider Identifier
1487610960
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35043944H Issued in OH
Practice address
5965 E Broad St
Suite 480
Columbus, OH 43213-1562
Phone
(614) 766-2006
Fax
(614) 751-4085
NPI assigned
Apr 25, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35043944H OH Primary

Addresses

Primary practice location

5965 E Broad St
Suite 480
Columbus, OH 43213-1562

Mailing address

5965 E Broad St
Suite 480
Columbus, OH 43213-1562
Phone (614) 766-2006

Other identifiers 1

IdentifierTypeStateIssuer
0434426MedicaidOH

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
I20110601000020 OH Practitioner - Ophthalmology 1850370529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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
35043944HOHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC, LLC CurrentSince Apr 1, 2021 Accepting new patients
Cei Physicians PSC LLC Ophthalmology CurrentSince Apr 1, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Moses & Mouser, M.D.'S, Inc. Ophthalmology Past Accepting new patients
Mount Carmel Health System PastSince Jan 1, 2013 Accepting new patients

Locations

1945 Cei Dr
Blue Ash, OH 45242

5965 E Broad St
Ste 480
Columbus, OH 43213
Phone (614) 751-4070

5155 Bradenton Ave
Ste 200
Dublin, OH 43017
Phone (614) 526-6209

1450 Columbus Ave
Ste 106
Wshngtn Ct Hs, OH 43160
Phone (614) 766-2006

Interoperability endpoints

  • Direct secure messaging: charles.hickey.p1@direct.cei.nextgenshare.com
  • Direct secure messaging: chickey1158000@direct.trinity-health.org

Organizations & group practices 5

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487610960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 E BROAD ST",
            "address_2": "SUITE 480",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131562",
            "telephone_number": "614-766-2006",
            "fax_number": "614-751-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 E BROAD ST",
            "address_2": "SUITE 480",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131562",
            "telephone_number": "614-766-2006",
            "fax_number": "614-751-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35043944H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0434426",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.