Elena Micevska, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.6425 Issued in OH

Practice address

2793 Taylor Road Ext
Reynoldsburg, OH 43068-9549

Phone

(614) 367-1025

NPI assigned

Sep 18, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Independent Doctors of Optometry, LLC

  • Optometrist
  • Lancaster, OH
  • NPI 1568736023
  Medicare reassignment NPD

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1962871020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2793 TAYLOR ROAD EXT",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689549",
            "telephone_number": "614-367-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2793 TAYLOR ROAD EXT",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689549",
            "telephone_number": "614-367-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICEVSKA",
        "first_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.6425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Adult Day Care Center
• Mercy Home Health Services, LLC
• Jasmine Alesia Meredith, LCDC III
• Jena Nicole Merrill, PHARMD
• Metamorphosis Counseling & Consulting LLC (Metamorphosis Counseling & Consulting)
• Michael J. Smith, DDS, Inc. (Reynoldsburg Family Dental)
• Michael S Tilson, DDS Ms Inc
• Michael's Angels Transportation Services LLC
• Walter D Mick, DDS
• Mid Ohio Home Health Care, LLC

• Optometrist in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.