Individual provider Active NPI

Taylor Samantha Flamm, OD

  • Optometrist
  • Mason, OH
National Provider Identifier
1952911604
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006921 Issued in OH
Practice address
218 Reading Rd
Mason, OH 45040-1665
Phone
(513) 398-3886
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT.006921 OH Primary

Addresses

Primary practice location

218 Reading Rd
Mason, OH 45040-1665

Mailing address

3844 Superior Ave
Cincinnati, OH 45236-3347

Other practice location 1

245 N Main St
Springboro, OH 45066-9404
Phone (937) 748-2955

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
I20200902003143 OH Practitioner - Optometry 3375960586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mason Vision Center LLCGroup PAC ID 8729367404, 6 clinicians

Practice addresses (Care Compare)

218 Reading Rd
Mason, OH 45040-1665
Phone (513) 398-3886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mason Vision Center, LLC Optometrist CurrentSince Aug 18, 2020 Accepting new patients
Springboro Vision, LLC Optometrist CurrentSince Aug 18, 2020 Accepting new patients
Kara S Hampton Optometrist Past Accepting new patients

Locations

218 Reading Rd
Mason, OH 45040
Phone (513) 398-3886

245 N Main St
Ste 300
Springboro, OH 45066
Phone (937) 748-2955

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1952911604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3844 SUPERIOR AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452363347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 READING RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401665",
            "telephone_number": "513-398-3886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 N Main St",
            "address_purpose": "LOCATION",
            "city": "Springboro",
            "state": "OH",
            "postal_code": "450669404",
            "country_code": "US",
            "telephone_number": "937-748-2955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLAMM",
        "first_name": "TAYLOR",
        "middle_name": "SAMANTHA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.