CASSIDY NICOLE MCKINNEY (OD) – Optometrist, NPI 1104666940

CASSIDY NICOLE MCKINNEY (OD) is a healthcare provider. based in Ashland, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.007295 (OH). The NPI Number for CASSIDY NICOLE MCKINNEY (OD) is 1104666940

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
CASSIDY NICOLE MCKINNEY (OD)
NPI
1104666940
Phone
(419) 908-3784
Address
1205 TOWNSHIP ROAD 1656
Enumeration Date
29 May 2024
Last Update Date
2 June 2024

Doctor Profile

Medical School Name
MID WEST MEDICAL COLLEGE
Secondary Phone
9377738023
Graduation Year
2024 (2 years ago)
PAC ID
0648718627
Professional Enrollment ID
I20240821005049
Address ID
OH453562318PI400XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for CASSIDY NICOLE MCKINNEY (OD)

  • 1205 TOWNSHIP ROAD 1656

    ASHLAND, OH 448059453

    Phone: (419) 908-3784

    Type: Mailing

  • 400 N MAIN ST

    PIQUA, OH 453562318

    Phone: (937) 773-8023

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Carl Zeiss Meditec, Inc. ($75).

Total Amount

$90

General + Research + Ownership

Payments

2

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240821005049IOptometryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44805)

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Reviews

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Frequently asked questions

Can I cross-check CASSIDY NICOLE MCKINNEY (OD) using NPI 1104666940?
NPI 1104666940 belongs to CASSIDY NICOLE MCKINNEY (OD); compare other details if you need extra assurance.
Would CASSIDY NICOLE MCKINNEY (OD) appear as active to a payer?
You can treat CASSIDY NICOLE MCKINNEY (OD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with CASSIDY NICOLE MCKINNEY (OD)?
CASSIDY NICOLE MCKINNEY (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Where in Ohio is CASSIDY NICOLE MCKINNEY (OD) registered?
Use Ashland, Ohio as the headline location for CASSIDY NICOLE MCKINNEY (OD) here.
Can I trust this NPI listing for CASSIDY NICOLE MCKINNEY (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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