Active NPI
Benjamin Frederick Kolle, OD
- Optometrist
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.006528
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.006528 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Vision Care Kentucky, LLC | Optometrist | Current | Accepting new patients |
| Family First Vision Care, LLC | Optometrist | Current | Accepting new patients |
| Family First Vision Care Kentucky, LLC | Optometrist | Past | 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.
-
- Optometrist
- Columbus, OH
- NPI 1427462183
-
- Optometrist
- Beavercreek, OH
- NPI 1164142444
-
- Optometrist
- Beavercreek, OH
- NPI 1467967083
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.