Jenna Lee Reid

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003275 Issued in GA

Practice address

1544 Piedmont Ave NE Ste 320
Atlanta, GA 30324-5018

Phone

(404) 888-9444

NPI assigned

May 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eye on Peachtree Inc.

  • Clinic/Center
  • Atlanta, GA
  • NPI 1598928913
  NPD (past)

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1124641329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 PIEDMONT AVE NE STE 320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245018",
            "telephone_number": "770-313-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 PIEDMONT AVE NE STE 320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245018",
            "telephone_number": "404-888-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JENNA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan A. Reid
• Codi-Ann Olecia Reid
• Courtney Reid
• Danielle Reid, MD
• Jacqueline Reid, NP
• Jennifer M Reid, CSW
• Katesha Reid, MS, ALC
• Kathleen Reid, LMSW
• Kimore Reid
• Lynn E Reid, L.P.C.

• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.