✓ Licensed & Credentialed Eye and Vision Service Providers — Optometrist (152W00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

ERIC WESTON FOX, OD (NPI #1275017451)

Optometrist • CINCINNATI, OH • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1275017451
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
152W00000X (CMS 41)
Licensed & Credentialed Eye and Vision Service Providers — Optometrist
Box 32 Service Location & ZIP+4
2045 ANDERSON FERRY RD, CINCINNATI, OH, 45238-3325
✓ 9-Digit EDI 837 ZIP+4 (45238-3325)
Practice Phone & Referral Fax
Fax: (513) 922-6031
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1275017451 (ERIC WESTON FOX, OD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
No
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1275017451)

Medicare Beneficiaries
114
Total Billed Services
198
Distinct CPT/HCPCS Codes
9
Medicare Allowed Total
$17,389.33

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
92004 New patient complete exam of visual system45
92014 Established patient complete exam of visual system65
92250 Photography of the retina63

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Latanoprost
Latanoprost
23<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1275017451 (NPI-1 Individual Practitioner)
Provider / Legal NameERIC WESTON FOX, OD
Plain-English SpecialtyLicensed & Credentialed Eye and Vision Service Providers — Optometrist
NUCC Code: 152W00000X (Optometrist)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address2045 ANDERSON FERRY RD, CINCINNATI, OH, 45238-3325
Practice Telephone / FaxTel: (513) 922-6030 | Fax: (513) 922-6031
Administrative Mailing AddressPO BOX 207170, DALLAS, TX, 75320-7156
Enumeration & Last SyncEnumerated: 2018-09-24 | CMS Record Updated: 2020-11-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2045 ANDERSON FERRY RD, CINCINNATI, OH, 45238-3325

🗺️ Open in Google Maps 🏥 More Providers in CINCINNATI

Plain-English Taxonomy & CMS Crosswalk (152W00000X)

What Does Taxonomy Code 152W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152W00000X translates to:
"Licensed & Credentialed Eye and Vision Service Providers — Optometrist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 41 (Optometry)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Optometrist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ERIC WESTON FOX, OD)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
152W00000X — Optometrist
Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist
State: OH | License: 6700 | Primary: Secondary
152W00000X — Optometrist
Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist
State: OH | License: OPT.006700 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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