Active NPI
Alyssa Donahue, O.D.
- Optometrist
- Mason, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6366T3283
- 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, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0140601 | Medicaid | OH |
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
Enrollment records 1
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
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 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6366T3283 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarkson Optometry Midwest Inc | Optometrist | Current | Accepting new patients |
| Mason Vision Center, LLC | Optometrist | Current | Accepting new patients |
| Clarkson Optometry Midwest Inc. | Optometrist | Current | Accepting new patients |
| Cei Physicians PSC, LLC | Current | Accepting new patients | |
| Cei Physicians PSC LLC | Optometrist | Current | 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
- 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.
-
dba Cincinnati Eye Institute
- Ophthalmology Physician
- Cincinnati, OH
- NPI 1942296298
Optometrist
-
- Optometrist
- Mason, OH
- NPI 1215385836
-
- Optometrist
- Mason, OH
- NPI 1689982704
-
dba Cleveland Surgical Suites
- Ambulatory Surgical Clinic/Center
- Richmond Heights, OH
- NPI 1891406328
-
dba CVP Surgery Center
- Ophthalmologic Surgery Clinic/Center
- Blue Ash, OH
- NPI 1790772804
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
- Heather Dlugosz, MD
- Haley Brynn Dobrzynski, LPC
- Anissa Louise Dobzynecki
- Doctors Urgent Care Offices Medical Group Inc (Doctors Urgent Care Office)
- Kyla Marie Doepel, MED, BCBA, COBA, LBA
- John Charles Doscher, MD
- Linda S Douglas, LICDC-CS, LISW-S
- Brett Dowdy, PSYD
- Brian Patrick Dowling, MD
- Jane Coletta Downey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.