Individual provider Active NPI

Ryan J Holte, LDO

  • Optician
  • Blue Ash, OH
National Provider Identifier
1962788935
Registry record updated Oct 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
S11499 Issued in OH
Practice address
4700 Ashwood Dr
Suite 131
Blue Ash, OH 45241-2465
Phone
(513) 484-2895
Fax
(513) 685-4575
NPI assigned
Oct 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X S11499 OH Primary

Addresses

Primary practice location

4700 Ashwood Dr
Suite 131
Blue Ash, OH 45241-2465

Mailing address

4700 Ashwood Dr
Suite 131
Blue Ash, OH 45241-2465
Phone (513) 484-2895

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

LicenseStateTypeSpecialty
S11499OHMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1319241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319241600000",
    "number": "1962788935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ASHWOOD DR",
            "address_2": "SUITE 131",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412465",
            "telephone_number": "513-484-2895",
            "fax_number": "513-685-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 ASHWOOD DR",
            "address_2": "SUITE 131",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412465",
            "telephone_number": "513-484-2895",
            "fax_number": "513-685-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTE",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-22",
        "last_updated": "2011-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "S11499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; 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.