Individual provider Active NPI

Michael W. Raies, O.D.

  • Optometrist
  • Portsmouth, OH
National Provider Identifier
1871673475
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4139/T207 Issued in OH
Practice address
1915 Scioto TRL
Portsmouth, OH 45662-2843
Phone
(740) 354-2821
Fax
(740) 354-6162
NPI assigned
Oct 17, 2006
Last updated
Jan 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 4139/T207 OH Primary

Addresses

Primary practice location

1915 Scioto TRL
Portsmouth, OH 45662-2843

Mailing address

1915 Scioto TRL
Portsmouth, OH 45662-2843
Phone (740) 354-2821

Other identifiers 1

IdentifierTypeStateIssuer
0751708MedicaidOH

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
I20120208000509 OH Practitioner - Optometry 7113948597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portsmouth Vision Center, LTDGroup PAC ID 5698796068, 6 clinicians

Practice addresses (Care Compare)

1915 Scioto TRL
Portsmouth, OH 45662-2874
Phone (740) 354-2821

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
100
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4139/T207OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Portsmouth Vision Center, LTD Optometrist CurrentSince Jan 1, 1996 Accepting new patients

Locations

1915 Scioto Trl
Portsmouth, OH 45662
Phone (740) 354-2821

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, 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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1871673475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 SCIOTO TRL",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622843",
            "telephone_number": "740-354-2821",
            "fax_number": "740-354-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 SCIOTO TRL",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622843",
            "telephone_number": "740-354-2821",
            "fax_number": "740-354-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIES",
        "first_name": "MICHAEL",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4139/T207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0751708",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.