Individual provider Active NPI

Katie J Holnbeck, O.D.

  • Optometrist
  • Florence, KY
National Provider Identifier
1982992533
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6043/T2958 Issued in OH
Practice address
7510 US Route 42
Florence, KY 41042-1908
Phone
(859) 525-6215
Fax
(859) 581-7207
NPI assigned
Jul 18, 2011
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1842DT KY
Optometrist 152W00000X 6043/T2958 OH Primary

Addresses

Primary practice location

7510 US Route 42
Florence, KY 41042-1908

Mailing address

2865 Chancellor Dr
Ste 215
Crestview Hills, KY 41017-3931
Phone (859) 344-2079

Other identifiers 1

IdentifierTypeStateIssuer
0190169MedicaidOH

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
I20111213000319 OH Practitioner - Optometry 6406021831 Reassigns benefits to 1 organization
I20111219000275 KY Practitioner - Optometry 6406021831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Centers for Sight IncGroup PAC ID 7113812090, shared by 8 NPIs, 37 clinicians

Practice addresses (Care Compare)

2135 Dana Ave
Suite 310
Cincinnati, OH 45207-1327
Phone (513) 221-7788

7510 US Route 42
Florence, KY 41042-1908
Phone (859) 581-7120

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6043/T2958OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tristate Centers for Sight, Inc. CurrentSince Nov 1, 2016 Accepting new patients
Tri-State Centers for Sight, Inc. Current Accepting new patients
Tri-State Centers for Sight, Inc. Current Accepting new patients
Tri-State Centers for Sight,Inc CurrentSince Nov 1, 2016 Accepting new patients
Tri-State Centers for Sight Inc Past Accepting new patients
Wing Eyecare, Inc. Optometrist Past Accepting new patients

Locations

2865 Chancellor Dr
Ste 210
Crestview Hills, KY 41017
Phone (859) 331-1058

2865 Chancellor Dr
Ste 215
Crestview Hills, KY 41017
Phone (606) 341-6660

7510 US Route 42
Florence, KY 41042
Phone (513) 671-6112

500 Thomas More Pkwy
Ft Mitchell, KY 41017
Phone (859) 341-4525

2135 Dana Ave
Ste 310
Cincinnati, OH 45207
Phone (513) 221-7788

7730 Montgomery Rd
Ste 120
Cincinnati, OH 45236
Phone (513) 791-5999

8270 Pine Rd
Cincinnati, OH 45236
Phone (513) 791-5999

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Organizations & group practices 6

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": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1982992533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 CHANCELLOR DR",
            "address_2": "STE 215",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173931",
            "telephone_number": "859-344-2079",
            "fax_number": "859-581-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 US ROUTE 42",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421908",
            "telephone_number": "859-525-6215",
            "fax_number": "859-581-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLNBECK",
        "first_name": "KATIE",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1842DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6043/T2958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190169",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.