Individual provider Active NPI

Christine Dee-Reyes, O.D.

  • Optometrist
  • Ft Myers Beach, FL
National Provider Identifier
1124081641
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2994 Issued in FL
Practice address
15620 McGregor Blvd Ste 100
Ft Myers Beach, FL 33908-2528
Phone
(239) 992-2020
Fax
(239) 992-2005
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2994 FL Primary

Addresses

Primary practice location

15620 McGregor Blvd Ste 100
Ft Myers Beach, FL 33908-2528

Mailing address

26381 S Tamiami TRL Ste 112
Bonita Springs, FL 34134-7803
Phone (239) 992-2020

Other identifiers 5

IdentifierTypeStateIssuer
20728XOtherFLMEDICARE ID UNSPECIFIED
620221700MedicaidFL
7973589OtherFLAETNA
20728OtherFLBLUE CROSS BLUE SHIELD
6689374OtherFLCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20070716000162 FL Practitioner - Optometry 2365542693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Eye Care of Florida PAGroup PAC ID 7911156989, 2 clinicians

Practice addresses (Care Compare)

26381 S Tamiami TRL
Suite 112
Bonita Springs, FL 34134-7803
Phone (239) 992-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2994FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Eye Care of Florida P.a. Optometrist CurrentSince May 6, 2013 Accepting new patients
Associates in Eyecare of Florida Optometrist PastSince May 6, 2013 Accepting new patients

Locations

26381 S Tamiami Trl
Ste 112
Bonita Springs, FL 34134
Phone (239) 992-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1124081641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26381 S TAMIAMI TRL STE 112",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347803",
            "telephone_number": "239-992-2020",
            "fax_number": "239-992-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15620 MCGREGOR BLVD STE 100",
            "city": "FT MYERS BEACH",
            "state": "FL",
            "postal_code": "339082528",
            "telephone_number": "239-992-2020",
            "fax_number": "239-992-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEE-REYES",
        "first_name": "CHRISTINE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID UNSPECIFIED",
            "identifier": "20728X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620221700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7973589",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "20728",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6689374",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Myers Beach, FL

Sources for this page

Verify at the official NPI Registry.