Dr Claffie and Associates

Organization Active NPI Optometrist · Monroe, OH

NPI 1861687402 · NPPES record last updated Oct 31, 2019

Key facts

NPI
1861687402
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
License
5832 (OH)
Legal business name
DR CLAFFIE AND ASSOCIATES
Practice address
402 Premium Outlets Dr
Monroe, OH 45050-1832
Phone
(513) 360-0113
NPI assigned
Sep 6, 2007
Organization subpart
No

Authorized official

Name
Dr. Sean Claffie, O.D.
Title
President
Phone
(513) 360-0113

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 20

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in FL, OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20091222000070 FL Part B Supplier - Clinic/Group Practice 5991845075 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tampa, FL
O20100825000680 OH Part B Supplier - Clinic/Group Practice 2365566510 Receives reassigned benefits from 20 practitioners
1 other NPI on this enrollment
Practice locations: Cincinnati, OH; Monroe, OH

National Provider Directory

Tax ID family
Also Dba Eyedocsoptical (4 organizations share this tax ID)

Locations

2132 Florence Mall
Florence, KY 41042
Phone (859) 525-2812

9998 Kings Auto Mall Rd
Cincinnati, OH 45249
Phone (513) 683-9710

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X 5832 OH Yes

Addresses

Primary practice location

402 Premium Outlets Dr
Monroe, OH 45050-1832

Mailing address

402 Premium Outlets Dr
Monroe, OH 45050-1832
Phone (513) 360-0113

Other identifiers

IdentifierTypeStateIssuer
9390111OtherOHMEDICARE PTAN, GROUP

Other names

  • Dr Claffie and Associates Doing business as
  • Family Eye Care Associates Doing business as

Other providers in Monroe, OH

All providers in Monroe, OH · Optometrist in Ohio

Sources for this page

Verify at the official NPI Registry.