Individual provider Active NPI

Alex Gibberman, O.D.

  • Optometrist
  • Loveland, OH
National Provider Identifier
1659785178
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006280 Issued in OH
Practice address
9553 Fields Ertel Rd
Loveland, OH 45140-7320
Phone
(513) 428-2020
Fax
(513) 589-2020
NPI assigned
Jun 12, 2014
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006280 OH Primary

Addresses

Primary practice location

9553 Fields Ertel Rd
Loveland, OH 45140-7320

Mailing address

9553 Fields Ertel Rd
Loveland, OH 45140-7320
Phone (513) 428-2020

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
I20140822002583 OH Practitioner - Optometry 3678791290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2020 Eyecare LLCGroup PAC ID 6901224237, 2 clinicians

Practice addresses (Care Compare)

9553 Fields Ertel Rd
Loveland, OH 45140-7320
Phone (513) 428-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.006280OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Feb 19, 2020 Accepting new patients
2020 Eyecare LLC Optometrist CurrentSince Sep 1, 2020 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Feb 19, 2020 Accepting new patients

Locations

8211 Cornell Rd
Ste 510
Cincinnati, OH 45249
Phone (513) 489-4000

9553 Fields Ertel Rd
Loveland, OH 45140
Phone (513) 428-2020

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1659785178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9553 FIELDS ERTEL RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451407320",
            "telephone_number": "513-428-2020",
            "fax_number": "513-589-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9553 FIELDS ERTEL RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451407320",
            "telephone_number": "513-428-2020",
            "fax_number": "513-589-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBERMAN",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, OH

Sources for this page

Verify at the official NPI Registry.