Individual provider Active NPI

Donna Lynne Baldwin-Mickey, O.D.

  • Vision Therapy Optometrist
  • Sylvania, OH
National Provider Identifier
1962553735
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
4815 Issued in OH
Practice address
5600 Monroe Street
Building a, Suite 203
Sylvania, OH 43560-4356
Phone
(419) 578-4322
Fax
(419) 517-8285
NPI assigned
Jan 16, 2007
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 4815 OH Primary

Addresses

Primary practice location

5600 Monroe Street
Building a, Suite 203
Sylvania, OH 43560-4356

Mailing address

5863 Summer Place Dr
Sylvania, OH 43560-4246
Phone (419) 578-4322

Other names 1

  • Dr. Donna B Zigulis Former name

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
I20150723008140 OH Practitioner - Optometry 2466765102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

3723 King Rd
Suite 100
Toledo, OH 43617-1402
Phone (419) 843-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4815OHMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC CurrentSince May 30, 2024 Accepting new patients
Aeg Ohio Professional PC CurrentSince May 30, 2024 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

3723 King Rd
Ste 100
Toledo, OH 43617
Phone (419) 843-2020

Organizations & group practices 2

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1962553735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5863 SUMMER PLACE DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435604246",
            "telephone_number": "419-578-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 MONROE STREET",
            "address_2": "BUILDING A, SUITE 203",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435604356",
            "telephone_number": "419-578-4322",
            "fax_number": "419-517-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN-MICKEY",
        "first_name": "DONNA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OH",
            "license": "4815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "ZIGULIS",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.