Individual provider Active NPI

Michael H Moorehead

  • Optometrist
  • Hamilton, OH
National Provider Identifier
1659343317
Registry record updated Sep 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3428 Issued in OH
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
410008895OtherOHMEDICARE RAILROAD PTAN
0720474MedicaidOH

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029000549 OH Practitioner - Optometry 6800901273 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Hamilton, OH

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
Myeyedr Optometry of Ohio, LLCGroup PAC ID 7719211010, 72 clinicians

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

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Jun 30, 2025 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Jun 30, 2025 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.

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

Verify at the official NPI Registry.