Active NPI
Jessica A Simon, O.D.
- Optometrist
- Stow, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5416
- Practice address
- 3330 Kent Rd
Stow, OH 44224-4537 - Phone
- (330) 688-8811
- Fax
- (330) 296-3231
- NPI assigned
- Jul 26, 2005
- Sex
- Female
- Sole proprietor
- No
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 | 5416 | OH | Primary |
Addresses
Primary practice location
3330 Kent Rd
Stow, OH 44224-4537
Mailing address
518 West Ave
Tallmadge, OH 44278-2117
Phone (330) 630-9699
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040820000877 | OH | Practitioner - Optometry | 7911971403 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cei Physicians PSC, LLCLinda M Sedlacek O.D. and Associates Inc
Practice addresses (Care Compare)
1945 Cei Dr
Blue Ash, OH 45242-5664
Phone 51398451333741
4153 Bridgewater Pkwy
Stow, OH 44224-6191
Phone (330) 922-4393
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarkson Optometry Midwest Inc | Optometrist | Current | Accepting new patients |
| Cei Physicians PSC LLC | Optometrist | Current | Accepting new patients |
| Linda M Sedlacek O.D. & Associates Inc | Optometrist | Current | Accepting new patients |
| Cei Physicians PSC, LLC | Current | Accepting new patients | |
| Cei Physicians PSC LLC | Past | Accepting new patients |
Locations
1945 Cei Dr
Blue Ash, OH 45242
8118 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 891-9030
4153 Bridgewater Pkwy
Stow, OH 44224
Phone (330) 922-4393
518 West Ave
Tallmadge, OH 44278
Phone (216) 630-9699
Interoperability endpoints
- jessica.simon.p1@direct.cei.nextgenshare.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Richmond Heights, OH
- NPI 1891406328
-
- Ophthalmologic Surgery Clinic/Center
- Blue Ash, OH
- NPI 1790772804
-
- Ambulatory Surgical Clinic/Center
- Tallmadge, OH
- NPI 1972214682
-
- Ophthalmology Physician
- Edgewood, KY
- NPI 1033108592
-
- Ophthalmology Physician
- Lawrenceburg, IN
- NPI 1265421960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561852800000",
"number": "1790785285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 WEST AVE",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "442782117",
"telephone_number": "330-630-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 KENT RD",
"city": "STOW",
"state": "OH",
"postal_code": "442244537",
"telephone_number": "330-688-8811",
"fax_number": "330-296-3231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "JESSICA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2019-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stow, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2019; 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.