Individual provider Active NPI

Jeffrey M Ward, OD

  • Optometrist
  • Sidney, OH
National Provider Identifier
1659377554
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4390 Issued in OH
Practice address
1118 Fairington Dr
Sidney, OH 45365-8913
Phone
(937) 492-3755
Fax
(937) 492-1132
NPI assigned
Jun 24, 2005
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4390 OH Primary

Addresses

Primary practice location

1118 Fairington Dr
Sidney, OH 45365-8913

Mailing address

4445 Lake Forest Dr
Ste 600
Blue Ash, OH 45242-3744
Phone (514) 569-3741

Other identifiers 1

IdentifierTypeStateIssuer
0921935MedicaidOH

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
I20040202000656 OH Practitioner - Optometry 9032012372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cei Physicians PSC, LLCGroup PAC ID 0749186427, 155 clinicians

Practice addresses (Care Compare)

1118 Fairington Dr
Sidney, OH 45365-8913
Phone (937) 492-3755

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Cei Physicians PSC LLC Past Accepting new patients
Eye Care & Surgery Assoc., Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jeffrey.ward.p1@direct.cei.nextgenshare.com

Organizations & group practices 4

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1659377554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 LAKE FOREST DR",
            "address_2": "STE 600",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423744",
            "telephone_number": "514-569-3741",
            "fax_number": "937-492-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 FAIRINGTON DR",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453658913",
            "telephone_number": "937-492-3755",
            "fax_number": "937-492-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0921935",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

Verify at the official NPI Registry.