DR. JACOB ANTHONY MICHAEL (O.D.) – Optometrist, NPI 1356780670
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
Provider Addresses for DR. JACOB ANTHONY MICHAEL (O.D.)
8340 COLERAIN AVE
CINCINNATI, OH 452393916
Phone: (513) 245-9099
Fax: (513) 245-9151
Type: Mailing
1950 OLD GALLOWS RD STE 520
VIENNA, VA 221823970
Phone:
Type: Mailing
142 PAVILION PKWY
NEWPORT, KY 410712884
Phone: (859) 291-9464
Fax: (859) 291-3222
Type: Location
5303 Glenway Ave
Cincinnati, OH 452383706
Phone: (513) 921-8040
Fax: (513) 921-6483
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $77.
Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.
Last reported payment date: 2023-12-28 • Largest payer in this snapshot: Alcon Vision LLC ($77).
Total Amount
$77
General + Research + Ownership
Payments
4
Total payment records
General Amount
$77
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $77 |
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: 2015-10-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (982 days ago).
Enrollment records
2
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140916002845 | I | Optometry | OH | 2023-09-30 |
| I20151015000848 | I | Optometry | KY | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 45239)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | KY |
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