Organization Active NPI

Dr. Malinda Pence & Associates, Inc

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1801075379
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5060 Issued in OH
Legal business name
DR. MALINDA PENCE & ASSOCIATES, INC
Practice address
6725 Miami Ave Ste 101
Cincinnati, OH 45243-3158
Phone
(513) 561-7076
Fax
(513) 561-2066
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Dr. Malinda Berning Pence, ODNPI 1649277062
Title
President
Phone
(513) 561-7076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5060 OH Primary

Addresses

Primary practice location

6725 Miami Ave Ste 101
Cincinnati, OH 45243-3158

Mailing address

6725 Miami Ave Ste 101
Cincinnati, OH 45243-3158
Phone (513) 561-7076

Other names 1

  • Madeira Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111020000552 OH Part B Supplier - Clinic/Group Practice 4385857952 Receives reassigned benefits from 5 practitioners
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

7111 Miami Ave
Madeira, OH 45243
Phone (513) 561-7076

7800 Laurel Ave
Ste 400
Madeira, OH 45243
Phone (513) 561-7076

6725 Miami Ave
Ste 101
Madeira, OH 45243
Phone (513) 527-3421

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1801075379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 MIAMI AVE STE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452433158",
            "telephone_number": "513-561-7076",
            "fax_number": "513-561-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 MIAMI AVE STE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452433158",
            "telephone_number": "513-561-7076",
            "fax_number": "513-561-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MALINDA PENCE & ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "PENCE",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_middle_name": "BERNING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-561-7076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madeira Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madeira Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.