Individual provider Active NPI

Erin Elizabeth Mosellen, O.D.

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1891109633
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6303 Issued in OH
Practice address
7730 Montgomery Rd
Suite 120
Cincinnati, OH 45236-4283
Phone
(513) 791-5999
Fax
(513) 791-4567
NPI assigned
Jun 19, 2014
Last updated
Apr 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6303 OH Primary

Addresses

Primary practice location

7730 Montgomery Rd
Suite 120
Cincinnati, OH 45236-4283

Mailing address

PO Box 631662
Cincinnati, OH 45263-1662
Phone (859) 344-2079

Other identifiers 2

IdentifierTypeStateIssuer
7100376230MedicaidKY
0131965MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150331002136 OH Practitioner - Optometry 7911224951 Reassigns benefits to 1 organization
I20150814014229 KY Practitioner - Optometry 7911224951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Centers for Sight IncGroup PAC ID 7113812090, 37 clinicians

Practice addresses (Care Compare)

6779 Colerain Ave
Cincinnati, OH 45239-5541
Phone (513) 741-1313

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
6303OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Centers for Sight, Inc. CurrentSince Nov 1, 2016 Accepting new patients
Tristate Centers for Sight, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Tri-State Centers for Sight, Inc. Current Accepting new patients
Tri-State Centers for Sight Inc Optometrist CurrentSince Jul 1, 2015 Accepting new patients
Tri-State Centers for Sight, Inc. Past Accepting new patients
Wing Eyecare, Inc. Optometrist Past Accepting new patients

Locations

2865 Chancellor Dr
Ste 210
Crestview Hills, KY 41017
Phone (859) 331-1058

2865 Chancellor Dr
Ste 215
Crestview Hills, KY 41017
Phone (606) 341-6660

7510 US Route 42
Florence, KY 41042
Phone (513) 671-6112

8780 US Highway 42
Florence, KY 41042
Phone (859) 384-2660

500 Thomas More Pkwy
Ft Mitchell, KY 41017
Phone (859) 341-4525

1060 Nimitzview Dr
Ste 105
Cincinnati, OH 45230
Phone (513) 232-2500

4452 Eastgate Blvd
Ste 305
Cincinnati, OH 45245
Phone (513) 752-5700

6779 Colerain Ave
Cincinnati, OH 45239
Phone (513) 741-1313

7730 Montgomery Rd
Ste 120
Cincinnati, OH 45236
Phone (513) 791-5999

8044 Montgomery Rd
Ste 155
Cincinnati, OH 45236
Phone (513) 731-7967

8270 Pine Rd
Cincinnati, OH 45236
Phone (513) 791-5999

1017 Main St
Hamilton, OH 45013
Phone (513) 868-2181

5141 Morning Sun Rd
Oxford, OH 45056
Phone (513) 523-2123

8760 Union Centre Blvd
West Chester, OH 45069
Phone (513) 454-0544

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Organizations & group practices 6

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1891109633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631662",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631662",
            "telephone_number": "859-344-2079",
            "fax_number": "859-581-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 MONTGOMERY RD",
            "address_2": "SUITE 120",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452364283",
            "telephone_number": "513-791-5999",
            "fax_number": "513-791-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSELLEN",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100376230",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131965",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.