Sean O'Brien, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.006703 Issued in OH

Practice address

14894 N State Ave
Middlefield, OH 44062-9724

Phone

(440) 632-1695

NPI assigned

Sep 14, 2018

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christine Graley OD LLCGroup PAC ID 8224382023, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Christine Graley OD LLC

  • Optometrist
  • Middlefield, OH
  • NPI 1447432083
  Medicare reassignment Care Compare group
• Intrinsic Vision LLC

  • Optometrist
  • Geneva, OH
  • NPI 1194542209
  NPD Authorized official

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1598248635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S BROADWAY",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440419146",
            "telephone_number": "440-834-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14894 N STATE AVE",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629724",
            "telephone_number": "440-632-1695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 Washington St",
            "address_purpose": "LOCATION",
            "city": "Chagrin Falls",
            "state": "OH",
            "postal_code": "440224453",
            "country_code": "US",
            "telephone_number": "440-247-4920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "OH",
            "postal_code": "440419146",
            "country_code": "US",
            "telephone_number": "440-834-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "SEAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-14",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Vision Centers LLC
• My Vision Middlefield LLC
• Joyce Nestor
• Jose Nieves
• Christine M. Nowak, PCC
• James O'Neil, PMHNP-BC
• Ohio CVS Stores LLC (CVS Pharmacy 04349)
• Oic Integrative Optometry LLC
• Onsite Physician Services of Illinois, S.C.
• Nancy Pendley

• Optometrist in Middlefield, OH
• Providers in Middlefield, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.

Verify at the official NPI Registry.