Active NPI
Brooke Nicole Hyde, OD
- Optometrist
- Edgewood, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2172DT
- 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, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
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, LLC
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 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006893 | OH | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cei Physicians PSC LLC | Current | Accepting new patients | |
| Cei Physicians PSC, LLC | Current | Accepting new patients | |
| Cei Physicians PSC LLC | Optometrist | Current | Accepting new patients |
| Virginia Eye Consultants Inc | Optometrist | Current | 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
- brooke.mathie.p1@direct.cei.nextgenshare.com
- 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.
-
- Ophthalmology Physician
- Edgewood, KY
- NPI 1033108592
-
dba Cincinnati Eye Institute
- Ophthalmology Physician
- Cincinnati, OH
- NPI 1942296298
Optometrist
-
dba Commonwealth Eye Care Associates
- Ophthalmology Physician
- Norfolk, VA
- NPI 1992727820
Optometrist
-
dba Cleveland Surgical Suites
- Ambulatory Surgical Clinic/Center
- Richmond Heights, OH
- NPI 1891406328
-
dba CVP Surgery Center
- Ophthalmologic Surgery Clinic/Center
- Blue Ash, OH
- NPI 1790772804
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.