Reed Bradley Pett, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003678 Issued in PA

Practice address

208 Main St
Stroudsburg, PA 18360-2541

Phone

(570) 476-1114

NPI assigned

Jul 17, 2020

Last updated

Jul 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Tony H Sankari, OD

  • Optometrist
  • Allentown, PA
  • NPI 1093802746
  Medicare reassignment
• Anthony S. Diecidue, P.C.

  dba Eye Associates of Monroe County

  • Optometrist
  • Stroudsburg, PA
  • NPI 1962513937
  NPD (past)
• Tony H. Sankari, O.D.

  dba Lehigh Valley Eye Care Associates

  • Corneal and Contact Management Optometrist
  • Allentown, PA
  • NPI 1003290248
  NPD (past)
• Zaleski Optical Gallery

  • Optometrist
  • Milford, PA
  • NPI 1942495882
  NPD (past)

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1023626827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MAIN ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602541",
            "telephone_number": "570-476-1114",
            "fax_number": "570-476-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MAIN ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602541",
            "telephone_number": "570-476-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETT",
        "first_name": "REED",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy # 01312)
• Perez Psychotherapy LCSW, PLLC
• Alizee Louise Marie Pertus
• Peter J Racciato MD PC
• Taryn Petersen, MA, LPC, NCC
• Patricia Pinkowski, RN
• Pleasant Valley Manor, Inc.
• Pocono Ambulatory Surgery Center LTD
• Pocono Counseling Associates PC
• Pocono Foot & Ankle Consultants, P.C.

• Optometrist in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.