Carolina Marisol Reyes, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

009318 Issued in NY

Practice address

54 W Burnside Ave
Bronx, NY 10453-4018

Phone

(718) 299-5454

NPI assigned

Apr 1, 2021

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Burnside Optical Inc.

  • Optician
  • Bronx, NY
  • NPI 1568530079
  Medicare reassignment NPD
• Tag Optical Corp

  • Optometrist
  • New York, NY
  • NPI 1619090917
  Medicare reassignment NPD

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1154909844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534018",
            "telephone_number": "718-299-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "CAROLINA",
        "middle_name": "MARISOL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abel Reyes, TEACHER
• Alfeny Reyes
• Angelina Reyes, MS SLP
• Aribel Reyes
• Arthur Chua Reyes
• Crystal Ailene Reyes, LMSW
• Danny Orlando Reyes
• Darcel Maria Reyes, NURSE PRACTITIONER
• Denise Gloria Reyes, LMSW
• Evelin Reyes

• Optometrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.