Individual provider Active NPI

Benjamin Frederick Kolle, OD

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1841525524
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006528 Issued in OH
Practice address
700 Eastgate South Dr Ste 200
Cincinnati, OH 45245
Phone
(513) 449-1318
Fax
(513) 718-8610
NPI assigned
Oct 13, 2009
Last updated
Aug 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006528 OH Primary

Addresses

Primary practice location

700 Eastgate South Dr Ste 200
Cincinnati, OH 45245

Mailing address

700 Eastgate South Dr Ste 200
Cincinnati, OH 45245-1583
Phone (513) 449-1318

Other practice location 1

4419 Walnut St
Beavercreek, OH 45440-1379
Phone (937) 476-1899

Other practice location 2

3373 Princeton Rd Ste 121
Fairfield Township, OH 45011-7963
Phone (513) 893-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171222000372 OH Practitioner - Optometry 4385902238 Reassigns benefits to 2 organizations
I20241019000116 KY Practitioner - Optometry 4385902238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Family First Vision Care Kentucky LLCGroup PAC ID 3577975291, 19 clinicians
Family First Vision Care LLCGroup PAC ID 2769709179, 25 clinicians

Practice addresses (Care Compare)

2735 Miamisburg Centerville Rd
Dayton, OH 45459-3729
Phone (937) 435-4060

368 S Hamilton Rd
Gahanna, OH 43230-3350
Phone (614) 478-7474

4318 Alexandria Pike
Suite B
Cold Spring, KY 41076-2041
Phone (859) 474-8159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.006528OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care Kentucky, LLC Optometrist CurrentSince Mar 18, 2024 Accepting new patients
Family First Vision Care, LLC Optometrist CurrentSince Dec 6, 2017 Accepting new patients
Family First Vision Care Kentucky, LLC Optometrist PastSince Jul 2, 2023 Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients

Locations

4318 Alexandria Pike
Ste B
Cold Spring, KY 41076
Phone (859) 474-8159

614 Buttermilk Pike
Crescent Springs, KY 41017
Phone (859) 320-0221

7627 Mall Rd
Florence, KY 41042
Phone (859) 283-0068

2850 Centre Dr
Ste 6A
Beavercreek, OH 45324
Phone (937) 294-4060

700 Eastgate South Dr
Ste 200
Cincinnati, OH 45245
Phone (513) 449-1318

3948 Morse Xing
Columbus, OH 43219
Phone (614) 475-5240

2735 Miamisburg Centerville Rd
Dayton, OH 45459
Phone (937) 399-4060

3373 Princeton Rd
Ste 121
Fairfield Township, OH 45011
Phone (513) 893-1461

316 S Hamilton Rd
Gahanna, OH 43230

368 S Hamilton Rd
Gahanna, OH 43230
Phone (614) 478-5030

2051 N Bechtle Ave
Ste 130
Springfield, OH 45504
Phone (212) 729-5303

5274 Salem Ave
Trotwood, OH 45426
Phone (937) 837-3937

Organizations & group practices 4

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": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1841525524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 EASTGATE SOUTH DR STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451583",
            "telephone_number": "513-449-1318",
            "fax_number": "513-718-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 EASTGATE SOUTH DR STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45245",
            "telephone_number": "513-449-1318",
            "fax_number": "513-718-8610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4419 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454401379",
            "country_code": "US",
            "telephone_number": "937-476-1899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3373 Princeton Rd Ste 121",
            "address_purpose": "LOCATION",
            "city": "Fairfield Township",
            "state": "OH",
            "postal_code": "450117963",
            "country_code": "US",
            "telephone_number": "513-893-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLLE",
        "first_name": "BENJAMIN",
        "middle_name": "FREDERICK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-13",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.