Individual provider Active NPI

Christine M Cosgrove, OD

  • Optometrist
  • Xenia, OH
National Provider Identifier
1922668623
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006801 Issued in OH
Practice address
322 N Detroit St
Xenia, OH 45385-2233
Phone
(937) 376-4055
Fax
(937) 376-3969
NPI assigned
Jun 16, 2019
Last updated
May 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006801 OH Primary

Addresses

Primary practice location

322 N Detroit St
Xenia, OH 45385-2233

Mailing address

6184 Brookmeade Cir
Grove City, OH 43123-9084
Phone (714) 609-1491

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
I20190802001135 OH Practitioner - Optometry 9234466921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greene County Eye Care, Inc.Group PAC ID 3678670403, 2 clinicians

Practice addresses (Care Compare)

322 N Detorit St
Xenia, OH 45385-2233
Phone (937) 376-4055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greene County Eye Care, Inc. Optometrist CurrentSince Jul 1, 2022 Accepting new patients

Locations

400 N Main St
Cedarville, OH 45314
Phone (937) 766-2622

322 N Detroit St
Xenia, OH 45385
Phone (937) 376-3969

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": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1922668623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6184 BROOKMEADE CIR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239084",
            "telephone_number": "714-609-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N DETROIT ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852233",
            "telephone_number": "937-376-4055",
            "fax_number": "937-376-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSGROVE",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-16",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

Verify at the official NPI Registry.