Individual provider Active NPI

Kelsey Miller, OD

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1770479545
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007408 Issued in OH
Practice address
601 Ivy Gtwy Ste 301
Cincinnati, OH 45245-1899
Phone
(513) 984-5133
NPI assigned
Jun 17, 2025
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 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.007408 OH Primary

Addresses

Primary practice location

601 Ivy Gtwy Ste 301
Cincinnati, OH 45245-1899

Mailing address

1945 Cei Dr
Blue Ash, OH 45242-5664
Phone (513) 984-5133

Other practice location 1

6150 Radio Way
Mason, OH 45040-4520
Phone (513) 984-5133

Other practice location 2

10615 Montgomery Rd Ste 202
Montgomery, OH 45242-4460
Phone (513) 984-5133

Other practice location 3

87 US 22
Suite 100
Mainville, OH 45039
Phone (513) 984-5133

Other practice location 4

1945 Cei Dr
Blue Ash, OH 45242-5664
Phone (513) 984-5133

Other practice location 5

4760 Red Bank Rd
Cincinnati, OH 45227-1548
Phone (513) 984-5133

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
I20260327000922 OH Practitioner - Optometry 0244715217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15933 Clayton Rd
Suite 210
Ballwin, MO 63011-2154

8774 S Shore PL
Mason, OH 45040-5040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.007408OHMDOptometrist

Organizations & group practices 1

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": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1770479545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 CEI DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425664",
            "telephone_number": "513-984-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 IVY GTWY STE 301",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451899",
            "telephone_number": "513-984-5133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6150 Radio Way",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450404520",
            "country_code": "US",
            "telephone_number": "513-984-5133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10615 Montgomery Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "OH",
            "postal_code": "452424460",
            "country_code": "US",
            "telephone_number": "513-984-5133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "87 US 22",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Mainville",
            "state": "OH",
            "postal_code": "45039",
            "country_code": "US",
            "telephone_number": "513-984-5133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 Cei Dr",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452425664",
            "country_code": "US",
            "telephone_number": "513-984-5133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4760 Red Bank Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452271548",
            "country_code": "US",
            "telephone_number": "513-984-5133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KELSEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.