NPIMap

Organization Active NPI

John H. Reynolds, O.D., P.a.

  • Optometrist
  • North East, MD
National Provider Identifier
1083765564
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TAO766 Issued in MD
Legal business name
JOHN H. REYNOLDS, O.D., P.A.
Practice address
28 Flint Dr
North East, MD 21901-3746
Phone
(410) 287-2800
Fax
(410) 287-2303
NPI assigned
Jan 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Dr. John H. Reynolds
Title
President
Phone
(410) 287-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TAO766 MD Primary

Addresses

Primary practice location

28 Flint Dr
North East, MD 21901-3746

Mailing address

28 Flint Dr
North East, MD 21901-3746
Phone (410) 287-2800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1083765564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 FLINT DR",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219013746",
            "telephone_number": "410-287-2800",
            "fax_number": "410-287-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 FLINT DR",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219013746",
            "telephone_number": "410-287-2800",
            "fax_number": "410-287-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H. REYNOLDS, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-287-2800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TAO766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North East, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.