William T Reynolds Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1069 DT Issued in KY

Practice address

1020 Gibson Bay Dr
Richmond, KY 40475-3448

Phone

(859) 623-3358

Fax

(859) 623-8141

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Optometry

Education

Southern College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare Center Optometrist PSCGroup PAC ID 0143133058, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Eyecare Center Optometrist PSC

  • Optometrist
  • Richmond, KY
  • NPI 1851384960
  Medicare reassignment Care Compare group NPD
• HH-Ecc LLC

  • Ophthalmology Physician
  • Richmond, KY
  • NPI 1932693041
  Medicare reassignment NPD
• Eyecare Center Optometrist PSC

  • Optometrist
  • Irvine, KY
  • NPI 1700072253
  NPD (past) Authorized official

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174516298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 GIBSON BAY DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753448",
            "telephone_number": "859-623-3358",
            "fax_number": "859-623-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 GIBSON BAY DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753448",
            "telephone_number": "859-623-3358",
            "fax_number": "859-623-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1069 DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000051583",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIC LICENSE",
            "identifier": "1069 DT",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77010692",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "410040399",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4357622",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1312022",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Nicole Renko, APRN
• Resiliency Counselingservices, LLC
• Resp-a-Care Inc
• Daphne Lee Reynolds-Day, MS, OTR/L
• Timothy D Reynolds, DMD
• Elizabeth Kelly Rhodus, MS, OTR/L
• Angela G Rice, OTR/L
• Anna Rice
• Richard a. Blum, MD
• Alan K Richards, MD

• Optometrist in Richmond, KY
• Providers in Richmond, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.