Active NPI
Gary L Reck, OD
- Optometrist
- Delmont, PA
National Provider Identifier
1073515482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OE6001104
- Practice address
- 506 Athena Dr
Delmont, PA 15626-1005 - Phone
- (724) 468-6869
- Fax
- (724) 468-6207
- NPI assigned
- Aug 15, 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 | OE6001104 | PA | Primary |
Addresses
Primary practice location
506 Athena Dr
Delmont, PA 15626-1005
Mailing address
506 Athena Dr
Delmont, PA 15626-1005
Phone (724) 468-6869
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015200410002 | Medicaid | PA | |
| 356208500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1040 Old Orchard Dr
Gibsonia, PA 15044-6080
Phone (412) 597-3737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OE6001104 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Eye Consultants to Nursing Facilities Inc | Optometrist | Current | Accepting new patients |
| Sto-Rox Neighborhood Health Council, Inc. | Current | Accepting new patients | |
| Sto-Rox Neighborhood Health Council, Inc. | Current | Accepting new patients | |
| Insight Services for the Visually Impaired | Optometrist | Past | Accepting new patients |
Locations
506 Athena Dr
Delmont, PA 15626
710 Thompson Ave
Mc Kees Rocks, PA 15136
Phone (412) 771-6462
Organizations & group practices 4
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.
-
- Optometrist
- Gibsonia, PA
- NPI 1356648554
-
- Federally Qualified Health Center (FQHC)
- MC Kees Rocks, PA
- NPI 1154354553
-
- Federally Qualified Health Center (FQHC)
- Pittsburgh, PA
- NPI 1114339371
-
- Optometrist
- Murrysville, PA
- NPI 1790852861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1073515482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 ATHENA DR",
"city": "DELMONT",
"state": "PA",
"postal_code": "156261005",
"telephone_number": "724-468-6869",
"fax_number": "724-468-6207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 ATHENA DR",
"city": "DELMONT",
"state": "PA",
"postal_code": "156261005",
"telephone_number": "724-468-6869",
"fax_number": "724-468-6207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECK",
"first_name": "GARY",
"middle_name": "L",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OE6001104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015200410002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "356208500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delmont, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.