Active NPI
Christine Dee-Reyes, O.D.
- Optometrist
- Ft Myers Beach, FL
National Provider Identifier
1124081641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2994
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20728X | Other | FL | MEDICARE ID UNSPECIFIED |
| 620221700 | Medicaid | FL | |
| 7973589 | Other | FL | AETNA |
| 20728 | Other | FL | BLUE CROSS BLUE SHIELD |
| 6689374 | Other | FL | CIGNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC2994 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Eye Care of Florida P.a. | Optometrist | Current | Accepting new patients |
| Associates in Eyecare of Florida | Optometrist | Past | 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.
-
- Optometrist
- Bonita Springs, FL
- NPI 1962750091
-
- Optometrist
- Fort Myers, FL
- NPI 1508301367
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.