Individual provider Active NPI

Michele M Kane, OD

  • Optometrist
  • Columbus, OH
National Provider Identifier
1578082376
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007107 Issued in OH
Practice address
4830 Knightsbridge Blvd Ste G
Columbus, OH 43214-2300
Phone
(614) 488-8000
Fax
(614) 488-8610
NPI assigned
Sep 12, 2017
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty Opthalmology LLC 3 clinicians
Mid Ohio Ophthalmic Consultants, LTD 5 clinicians

Practice addresses (Care Compare)

27 Clairedan Dr
Powell, OH 43065-8064
Phone (614) 841-9300

4830 Knightsbridge Blvd
Suite G
Columbus, OH 43214-2300
Phone (614) 488-8000

Merit-based Incentive Payment System (MIPS)

Final score
90.07 of 100Reported as group
Quality
94.4
Improvement activities
40
Cost
74.36

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20230124001684 OH Practitioner - Optometry 6204194996 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blake a Housler OD Inc Optometrist CurrentSince Nov 1, 2020 Accepting new patients
Edmonds & Associates LLC Optometrist CurrentSince Oct 19, 2017 Accepting new patients
Edmonds and Associates Optometrist PastSince Oct 19, 2017 Accepting new patients
Mid Ohio Ophthalmic Consultants, LTD Past Accepting new patients
Philadelphia Concussion Specialists PastSince Oct 1, 2019 Accepting new patients

Locations

3300 Township Line Rd
#101
Drexel Hill, PA 19026
Phone (610) 316-7316

3300 Township Line Rd
Drexel Hill, PA 19026
Phone (484) 818-2225

175 N Fraley St
Kane, PA 16735
Phone (814) 837-7880

840 Walnut St
Ste 1010
Philadelphia, PA 19107
Phone (215) 928-3450

1513 Race St
Philadelphia, PA 19102
Phone (215) 587-3000

215 W Main St
Smethport, PA 16749
Phone (814) 837-7880

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007107 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

4830 Knightsbridge Blvd Ste G
Columbus, OH 43214-2300

Mailing address

4830 Knightsbridge Blvd Ste G
Columbus, OH 43214-2300
Phone (614) 488-8000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2023.

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1578082376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 KNIGHTSBRIDGE BLVD STE G",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142300",
            "telephone_number": "614-488-8000",
            "fax_number": "614-488-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 KNIGHTSBRIDGE BLVD STE G",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142300",
            "telephone_number": "614-488-8000",
            "fax_number": "614-488-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "MICHELE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.