Kevin P Reckley OD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

18002071 Issued in IN

Legal business name

KEVIN P RECKLEY OD

Practice address

5611 S Meridian St
Indianapolis, IN 46217-3750

Phone

(317) 781-9090

Fax

(317) 782-3937

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kevin P Reckley, ODNPI 1295705218

Title

Owner

Phone

(317) 781-9090

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Patrick Reckley, KEVIN RECKLEY O.D.

  • Optometrist
  • Indianapolis, IN
  • NPI 1295705218
  NPD Authorized official

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1184898926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 S MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462173750",
            "telephone_number": "317-781-9090",
            "fax_number": "317-782-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 S MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462173750",
            "telephone_number": "317-781-9090",
            "fax_number": "317-782-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN P RECKLEY OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "RECKLEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-781-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": "18002071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ebert Kester, RN, BSN
• Brianna Kestler Nicole Kestler
• Jordan Ketchem
• Destini Alma Ketchens, DSW, LCSW
• Kevin J. Welch DDS Inc (Tenth Street Dental Care)
• Kevin P. Tolliver, D.D.S., P.C. (Cosmetic and Family Dentistry by Dr. Kevin Tolliver)
• Kevin's Gifted Hands Home Care Services LLC
• Key 2 Home Care Co.
• Key Autism Services in, LLC
• Key of Love Home Care LLC

• Eyewear Supplier in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.