Individual provider Active NPI

Brooke Nicole Hyde, OD

  • Optometrist
  • Edgewood, KY
National Provider Identifier
1851959761
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2172DT Issued in KY
Practice address
580 S Loop Rd Ste 200
Edgewood, KY 41017-3415
Phone
(513) 569-3741
NPI assigned
Jun 5, 2019
Last updated
Oct 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2172DT KY Primary
Optometrist 152W00000X 006893 OH

Addresses

Primary practice location

580 S Loop Rd Ste 200
Edgewood, KY 41017-3415

Mailing address

4445 Lake Forest Dr Ste 600
Blue Ash, OH 45242-3744
Phone (513) 569-3741

Other practice location 1

1945 Cei Dr
Blue Ash, OH 45242-5664
Phone (513) 569-3741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, KY, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190819002281 VA Practitioner - Optometry 9335477116 Reassigns benefits to 1 organization
I20200706002272 KY Practitioner - Optometry 9335477116 Reassigns benefits to 1 organization
I20200807001379 OH Practitioner - Optometry 9335477116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cei Physicians PSC, LLCGroup PAC ID 0749186427, shared by 6 NPIs, 155 clinicians

Practice addresses (Care Compare)

1945 Cei Dr
Blue Ash, OH 45242-5664
Phone 51398451333741

580 S Loop Rd
Suite 200
Edgewood, KY 41017-3415
Phone 51398451333741

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006893OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC LLC CurrentSince Aug 30, 2020 Accepting new patients
Cei Physicians PSC, LLC CurrentSince Aug 17, 2020 Accepting new patients
Cei Physicians PSC LLC Optometrist CurrentSince Aug 17, 2020 Accepting new patients
Virginia Eye Consultants Inc Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Cei Physicians PSC LLC Past Accepting new patients

Locations

580 S Loop Rd
Ste 200
Edgewood, KY 41017
Phone (859) 331-9000

1945 Cei Dr
Blue Ash, OH 45242

4445 Lake Forest Dr
Ste 600
Blue Ash, OH 45242

241 Corporate Blvd
Ste 210
Norfolk, VA 23502

Interoperability endpoints

  • Direct secure messaging: brooke.mathie.p1@direct.cei.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1851959761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 LAKE FOREST DR STE 600",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423744",
            "telephone_number": "513-569-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 S LOOP RD STE 200",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173415",
            "telephone_number": "513-569-3741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 Cei Dr",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452425664",
            "country_code": "US",
            "telephone_number": "513-569-3741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYDE",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2172DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "006893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.