Active NPI
Michael H Moorehead
- Optometrist
- Hamilton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3428
- Practice address
- 1360 Eaton Ave
Hamilton, OH 45013-1407 - Phone
- (513) 894-1800
- Fax
- (513) 894-6315
- NPI assigned
- Feb 6, 2006
- Last updated
- Sep 12, 2015
- Sex
- Male
- 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 | 3428 | OH | Primary |
Addresses
Primary practice location
1360 Eaton Ave
Hamilton, OH 45013-1407
Mailing address
1360 Eaton Ave
Hamilton, OH 45013-1407
Phone (513) 894-1800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410008895 | Other | OH | MEDICARE RAILROAD PTAN |
| 0720474 | 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
- Ohio State University - College of Optometry, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1360 Eaton Ave
Hamilton, OH 45013-1407
Phone (513) 894-1800
8254 Mayberry SQ N
Sylvania, OH 43560-9457
Phone (419) 885-5300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Ohio, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Ohio, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Ohio, LLC | Optometrist | Current | Accepting new patients |
Locations
1360 Eaton Ave
Hamilton, OH 45013
Phone (513) 894-1800
8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1360 Eaton Ave
Hamilton, OH 45013
Phone (513) 894-1800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Cincinnati, OH
- NPI 1447816012
Organizations & group practices 3
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": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442016000000",
"number": "1659343317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 EATON AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450131407",
"telephone_number": "513-894-1800",
"fax_number": "513-894-6315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 EATON AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450131407",
"telephone_number": "513-894-1800",
"fax_number": "513-894-6315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOREHEAD",
"first_name": "MICHAEL",
"middle_name": "H",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2015-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PTAN",
"identifier": "410008895",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0720474",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; 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.