Brenda Heike Montecalvo, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

4167 T795 Issued in OH

Practice address

4248 Indian Ripple Rd
Dayton, OH 45440-3280

Phone

(937) 320-0300

Fax

(937) 320-0500

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Pacific University - College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nova Vision Care, P.L.L.Group PAC ID 1052397809, 4 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 and National Provider Directory roles.

• Nova Vision Care, P.L.L.

  • Optometrist
  • Dayton, OH
  • NPI 1295913887

  OH

  Medicare reassignment Care Compare group NPD
• City of Cincinnati

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1831102151

  OH

  Medicare reassignment NPD
• City of Cincinnati

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1043594260
  NPD
• City of Cincinnati

  • Clinic Pharmacy
  • Cincinnati, OH
  • NPI 1477112308
  NPD

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1649320706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 INDIAN RIPPLE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403280",
            "telephone_number": "937-320-0300",
            "fax_number": "937-320-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4248 INDIAN RIPPLE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403280",
            "telephone_number": "937-320-0300",
            "fax_number": "937-320-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTECALVO",
        "first_name": "BRENDA",
        "middle_name": "HEIKE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OH",
            "license": "4167  T795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0869494",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabitha Monnin, CRNA
• Amanda Monroe, CDCA
• Orion Monroe, LPCC
• Mont Green Anesthesiology Inc
• Steven Allen Monte, CCDC-IIIE
• Neeta Monteiro
• Monteith Counseling LLC
• Amy Michelle Monteith, LPCC
• Tania Montenegro, MS, MPH
• Monterey Consultants, Inc

• All providers in Dayton, OH
• Vision Therapy Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.