Active NPI
Shannon Kay Dittmann, O.D.
- Optometrist
- Cincinnati, OH
National Provider Identifier
1821274853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4922
- Practice address
- 7840 Montgomery Rd
Cincinnati, OH 45236-4301 - Phone
- (513) 794-9964
- NPI assigned
- Jan 22, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4922 | OH | Primary |
Addresses
Primary practice location
7840 Montgomery Rd
Cincinnati, OH 45236-4301
Mailing address
7840 Montgomery Rd
Cincinnati, OH 45236-4301
Phone (513) 794-9964
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4922 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1821274853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7840 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452364301",
"telephone_number": "513-794-9964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7840 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452364301",
"telephone_number": "513-794-9964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITTMANN",
"first_name": "SHANNON",
"middle_name": "KAY",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.