Active NPI
Donna Lynne Baldwin-Mickey, O.D.
- Vision Therapy Optometrist
- Sylvania, OH
National Provider Identifier
1962553735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 4815
- 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
- Sex
- Female
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- Optometrist
- Cincinnati, OH
- NPI 1932708047
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 PC
Practice addresses (Care Compare)
3723 King Rd
Suite 100
Toledo, OH 43617-1402
Phone (419) 843-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150723008140 | OH | Practitioner - Optometry | 2466765102 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4815 | OH | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Ohio Professional PC | Current | Accepting new patients | |
| Aeg Ohio Professional PC | Current | 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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 4815 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary 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
NPPES NPI Registry- Dr. Donna B Zigulis
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 12, 2021.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.