Individual provider Active NPI

Olivia June Reed, OD

  • Optometrist
  • Wright Patterson AFB, OH
National Provider Identifier
1437673563
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006937 Issued in OH
Practice address
88MDG/SGHJ
4881 Sugar Maple Drive
Wright-Patterson AFB, OH 45433
Phone
(317) 809-8502
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004078A IN
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 33800TLG CA
Optometrist 152W00000X OPT.006937 OH Primary

Addresses

Primary practice location

88MDG/SGHJ
4881 Sugar Maple Drive
Wright-Patterson AFB, OH 45433

Mailing address

88MDG/SGHJ
4881 Sugar Maple Drive
Wright-Patterson AFB, OH 45433-2418

Other practice location 1

3625 Rigby Rd
Miamisburg, OH 45342-4981
Phone (937) 247-2000

Other practice location 2

3081 Teagarden St
San Leandro, CA 94577-5720
Phone (510) 347-4620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33800TLGCAMDOptometrist
18004078AINMDOptometrist
OPT.006937OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Optometrist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1437673563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88MDG/SGHJ",
            "address_2": "4881 SUGAR MAPLE DRIVE",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "454332418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88MDG/SGHJ",
            "address_2": "4881 SUGAR MAPLE DRIVE",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "317-809-8502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3625 Rigby Rd",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453424981",
            "country_code": "US",
            "telephone_number": "937-247-2000",
            "fax_number": "937-310-3021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3081 Teagarden St",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945775720",
            "country_code": "US",
            "telephone_number": "510-347-4620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "OLIVIA",
        "middle_name": "JUNE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004078A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33800TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wright Patterson AFB, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.