Individual provider Active NPI

Philip R. Jutte, O.D.

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1275732281
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5724 T2638 Issued in OH
Practice address
8970 Winton Rd
Cincinnati, OH 45231-3818
Phone
(513) 522-0035
Fax
(513) 522-3416
NPI assigned
Jul 11, 2007
Last updated
Jan 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5724 T2638 OH Primary

Addresses

Primary practice location

8970 Winton Rd
Cincinnati, OH 45231-3818

Mailing address

8970 Winton Rd
Cincinnati, OH 45231-3818
Phone (513) 522-0035

Other identifiers 1

IdentifierTypeStateIssuer
JU4219911OtherPTAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071026000036 OH Practitioner - Optometry 5193812923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. James R. Scholles, Optometrist, Inc.Group PAC ID 7911981238, 2 clinicians

Practice addresses (Care Compare)

8970 Winton Rd
Cincinnati, OH 45231-3818
Phone (513) 522-0035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5724 T2638OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. James R. Scholles, Optometrist, Inc. Optometrist CurrentSince Jul 11, 2007 Accepting new patients
Preferred Eyecare Providers, Inc. PastSince Jul 11, 2007 Accepting new patients

Locations

8970 Winton Rd
Cincinnati, OH 45231
Phone (513) 522-0035

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1275732281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8970 WINTON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452313818",
            "telephone_number": "513-522-0035",
            "fax_number": "513-522-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8970 WINTON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452313818",
            "telephone_number": "513-522-0035",
            "fax_number": "513-522-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUTTE",
        "first_name": "PHILIP",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5724 T2638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "JU4219911",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.