Active NPI
Robert Lee Reid, OD
- Optometrist
- Houston, TX
National Provider Identifier
1033115365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2162TG
- Practice address
- 5419 FM 1960 Rd W
Suite C
Houston, TX 77069-4305 - Phone
- (281) 894-2020
- Fax
- (281) 537-7617
- NPI assigned
- Jun 22, 2005
- 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 | 2162TG | TX | Primary |
Addresses
Primary practice location
5419 FM 1960 Rd W
Suite C
Houston, TX 77069-4305
Mailing address
5419 FM 1960 Rd W
Suite C
Houston, TX 77069-4305
Phone (281) 894-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124532605 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | robert.reid@direct.berkeleyeye.com | Berkeley Eye Institute, PLLC |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Lake Eye Center LLP | Optometrist | Past | Accepting new patients |
| Berkeley Eye Institute, PLLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Berkeley Eye Center
- Ophthalmology Physician
- Houston, TX
- NPI 1740286186
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1033115365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5419 FM 1960 RD W",
"address_2": "SUITE C",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770694305",
"telephone_number": "281-894-2020",
"fax_number": "281-537-7617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5419 FM 1960 RD W",
"address_2": "SUITE C",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770694305",
"telephone_number": "281-894-2020",
"fax_number": "281-537-7617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "ROBERT",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2023-11-27",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2162TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124532605",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "robert.reid@direct.berkeleyeye.com",
"affiliation": "Y",
"affiliationName": "Berkeley Eye Institute, PLLC",
"address_1": "5419 FM 1960 RD W",
"address_2": "Suite C",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770694305",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.