Individual provider Active NPI

Linda Fender, O.D.

  • Optometrist
  • Blue Ash, OH
National Provider Identifier
1851443683
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4454 Issued in OH
Practice address
9912 Carver Rd Ste 101
Blue Ash, OH 45242-5541
Phone
(513) 984-0202
Fax
(513) 891-2233
NPI assigned
Jan 18, 2007
Last updated
Apr 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4454 OH Primary

Addresses

Primary practice location

9912 Carver Rd Ste 101
Blue Ash, OH 45242-5541

Mailing address

9912 Carver Rd Ste 101
Blue Ash, OH 45242-5541
Phone (513) 984-0202

Other identifiers 1

IdentifierTypeStateIssuer
0107655MedicaidOH

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
I20120312000140 OH Practitioner - Optometry 2466611454 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
Thomas G Ritter OD IncGroup PAC ID 2365480944, 6 clinicians

Practice addresses (Care Compare)

9912 Carver Rd
Suite 101
Blue Ash, OH 45242-5541
Phone (513) 984-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4454OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas G Ritter OD Inc Optometrist CurrentSince Oct 29, 1996 Accepting new patients
Dr Thomas G Ritter and Dr, Mark J Hagee, Optometrists, Inc Optometrist PastSince Mar 30, 1996 Accepting new patients

Locations

9912 Carver Rd
Ste 101
Blue Ash, OH 45242
Phone (513) 793-5070

8350 Plainfield Rd
Cincinnati, OH 45236
Phone (513) 984-0202

2091 W US Highway 22 and 3
Maineville, OH 45039
Phone (513) 677-8866

Interoperability endpoints

  • Direct secure messaging: lindafender.od@direct.revolutionehr.com

Organizations & group practices 2

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1851443683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9912 CARVER RD STE 101",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425541",
            "telephone_number": "513-984-0202",
            "fax_number": "513-891-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 CARVER RD STE 101",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425541",
            "telephone_number": "513-984-0202",
            "fax_number": "513-891-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENDER",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107655",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.