Katherine Elizabeth Reynolds, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1026 Issued in MS

Practice address

2901 Arlington Loop
Hattiesburg, MS 39401-7101

Phone

(601) 268-5144

Fax

(601) 268-5149

NPI assigned

Jul 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Vision Center Gulfport LLCGroup PAC ID 1153859558, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.86 of 100Reported as individual

Quality

89.72

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (5 of 15)

Locations

Networks

• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• MS PPO D-SNP
• TN PPO
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• MS PPO
• TN PPO C-SNP
• AL HMO D-SNP
• AL HMO
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• MS PPO C-SNP

Interoperability endpoints

• Direct secure messaging: keywords@greeneyehbg.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Vision Center Gulfport LLC

  • Ophthalmology Physician
  • Gulfport, MS
  • NPI 1073299244

  MS, Optometrist

  Medicare reassignment Care Compare group NPD
• Green Eye Institute PA

  • Optometrist
  • Hattiesburg, MS
  • NPI 1194731570

  MS, Optometrist

  Medicare reassignment NPD
• Hogan Surgical Center PA

  • Ambulatory Surgical Clinic/Center
  • Gulfport, MS
  • NPI 1104829597

  MS

  Medicare reassignment NPD
• Southern Eye Surgery Center LLC

  • Ophthalmologic Surgery Clinic/Center
  • Hattiesburg, MS
  • NPI 1073791158

  MS

  Medicare reassignment NPD
• Southern Eye Surgery Center LLC

  • Anesthesiology Physician
  • Hattiesburg, MS
  • NPI 1417112277

  MS

  Medicare reassignment NPD

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1003433467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 ARLINGTON LOOP",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017101",
            "telephone_number": "601-268-5144",
            "fax_number": "601-268-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 ARLINGTON LOOP",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017101",
            "telephone_number": "601-268-5144",
            "fax_number": "601-268-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1026",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E60-TA-B79",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Respire Health LLC
• Restoration House Counseling
• Retina Specialists of Mississippi, PLLC
• D Enise W Reynolds, M.D.
• Deidre Reynolds, PHARMD
• Kimberly Reynolds, PT, DPT
• Lauren McKenzy Reynolds
• Nathan Samuel Reynolds, PT, DPT
• Suyon Rhee, DPM
• Erin T. Rhodes, D.D.S.

• Optometrist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.

Verify at the official NPI Registry.