Individual provider Active NPI

Kevin T Corcoran, OD

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1902863673
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T0023663 Issued in OH
Practice address
9711 Montgomery Rd
Cincinnati, OH 45242-7257
Phone
(513) 793-8486
Fax
(513) 793-2023
NPI assigned
Apr 27, 2006
Last updated
Jan 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T0023663 OH Primary

Addresses

Primary practice location

9711 Montgomery Rd
Cincinnati, OH 45242-7257

Mailing address

9711 Montgomery Road
Cincinnati, OH 45242
Phone (513) 793-8486

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
I20100225000626 OH Practitioner - Optometry 7810970100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University College of Medicine, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Cei Physicians PSC, LLCGroup PAC ID 0749186427, 155 clinicians
Innovative Vision LLCGroup PAC ID 7911980206, 3 clinicians

Practice addresses (Care Compare)

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

9711 Montgomery Rd
Montgomery, OH 45242-7207
Phone (513) 793-8486

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
64.62 of 100Reported as group
Quality
62.39
Promoting interoperability
51
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3663OHMDClinical Psychologist
T0023663OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC, LLC CurrentSince Sep 1, 1996 Accepting new patients
Innovative Vision LLC Optometrist CurrentSince Jul 1, 2000 Accepting new patients
Cei Physicians PSC LLC Optometrist CurrentSince Sep 1, 1996 Accepting new patients
Innovative Vision LLC Optometrist PastSince Jun 9, 2024 Accepting new patients
Cei Physicians PSC LLC Past Accepting new patients

Locations

1945 Cei Dr
Blue Ash, OH 45242

9711 Montgomery Rd
Montgomery, OH 45242
Phone (513) 793-8486

Interoperability endpoints

  • Direct secure messaging: kevin.corcoran.p1@direct.cei.nextgenshare.com
  • Direct secure messaging: kevin.corcoran@direct.revolutionehr.com

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1902863673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 MONTGOMERY ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-793-8486",
            "fax_number": "513-793-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427257",
            "telephone_number": "513-793-8486",
            "fax_number": "513-793-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "KEVIN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T0023663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.