Individual provider Active NPI

Alyssa Donahue, O.D.

  • Optometrist
  • Mason, OH
National Provider Identifier
1497136873
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6366T3283 Issued in OH
Practice address
6150 Radio Way
Mason, OH 45040-4520
Phone
(513) 770-4020
Fax
(513) 770-4021
NPI assigned
Jun 11, 2015
Last updated
Oct 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 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 6366T3283 OH Primary

Addresses

Primary practice location

6150 Radio Way
Mason, OH 45040-4520

Mailing address

5535 Fair LN Ste C
Cincinnati, OH 45227-3440
Phone (513) 221-5274

Other identifiers 1

IdentifierTypeStateIssuer
0140601MedicaidOH

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
I20150708002907 OH Practitioner - Optometry 7113239856 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2015
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)

1945 Cei Dr
Blue Ash, OH 45242-5664
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
6366T3283OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Midwest Inc Optometrist Current Accepting new patients
Mason Vision Center, LLC Optometrist CurrentSince Feb 1, 2017 Accepting new patients
Clarkson Optometry Midwest Inc. Optometrist CurrentSince May 1, 2017 Accepting new patients
Cei Physicians PSC, LLC CurrentSince Mar 1, 2020 Accepting new patients
Cei Physicians PSC LLC Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Cei Physicians PSC LLC Past Accepting new patients

Locations

15933 Clayton Rd
Ste 201
Ballwin, MO 63011

1945 Cei Dr
Blue Ash, OH 45242

3308 Jefferson Ave
Cincinnati, OH 45220
Phone (513) 281-2032

8118 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 891-9030

218 Reading Rd
Mason, OH 45040
Phone (513) 398-3885

6150 Radio Way
Mason, OH 45040
Phone (513) 770-4020

8629 N Pavillion
West Chester, OH 45069
Phone (513) 860-0400

8629 N Pavillion
#T
West Chester, OH 45069

Interoperability endpoints

  • Direct secure messaging: alyssa.donahue.p1@direct.cei.nextgenshare.com

Organizations & group practices 7

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1497136873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 FAIR LN STE C",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452273440",
            "telephone_number": "513-221-5274",
            "fax_number": "513-961-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 RADIO WAY",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450404520",
            "telephone_number": "513-770-4020",
            "fax_number": "513-770-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "ALYSSA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6366T3283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140601",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.