Active NPI
Olivia June Reed, OD
- Optometrist
- Wright Patterson AFB, OH
National Provider Identifier
1437673563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.006937
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18004078A | IN | |
| Optometrist | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 33800TLG | CA | MD | Optometrist |
| 18004078A | IN | MD | Optometrist |
| OPT.006937 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New 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.