Individual provider Active NPI

Keith Alan Basinger, O.D.

  • Optometrist
  • Miamisburg, OH
National Provider Identifier
1841293263
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4438 Issued in OH
Practice address
340 Alexandersville Rd
Miamisburg, OH 45342-2554
Phone
(937) 866-3471
Fax
(937) 866-5242
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4438 OH Primary

Addresses

Primary practice location

340 Alexandersville Rd
Miamisburg, OH 45342-2554

Mailing address

340 Alexandersville Rd
Miamisburg, OH 45342-2554
Phone (937) 866-3471

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
I20050325000000 OH Practitioner - Optometry 1456307438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optometric Management Group LLCGroup PAC ID 7517034291, 43 clinicians

Practice addresses (Care Compare)

265 N Liberty St
Powell, OH 43065-8870
Phone (614) 793-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Management Group LLC Optometrist CurrentSince Mar 1, 2023 Accepting new patients

Locations

5823 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 741-8811

3039 Madison Rd
Cincinnati, OH 45209
Phone (513) 651-4005

5180 E Main St
Columbus, OH 43213
Phone (614) 866-9002

813 Troy St
Dayton, OH 45404
Phone (937) 228-2020

3959 Hoover Rd
Grove City, OH 43123
Phone (614) 875-8373

3636 Broadway
Grove City, OH 43123
Phone (614) 871-3234

340 Alexandersville Rd
Miamisburg, OH 45342
Phone (937) 866-3471

265 N Liberty St
Powell, OH 43065
Phone (614) 793-0700

1018 Cheyenne Ave
Springfield, OH 45503
Phone (937) 399-0282

107 Plaza Dr
St Clairsvle, OH 43950
Phone (740) 526-0204

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1841293263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ALEXANDERSVILLE RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453422554",
            "telephone_number": "937-866-3471",
            "fax_number": "937-866-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ALEXANDERSVILLE RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453422554",
            "telephone_number": "937-866-3471",
            "fax_number": "937-866-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASINGER",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.