Individual provider Active NPI

Collin Wayne Reiners, O.D.

  • Optometrist
  • Holyoke, MA
National Provider Identifier
1215263991
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4775 Issued in MA
Practice address
50 Holyoke St
Holyoke, MA 01040-2709
Phone
(413) 532-2700
NPI assigned
Oct 30, 2009
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4775 MA Primary

Addresses

Primary practice location

50 Holyoke St
Holyoke, MA 01040-2709

Mailing address

PO Box 154
Housatonic, MA 01236-0154
Phone (413) 717-7601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20110912000278 MA Practitioner - Optometry 2668643271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

789 Main St
Suite 3
Great Barrington, MA 01230-2217
Phone (413) 528-2880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4775MAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Barrington Eye Care, PC Optometrist CurrentSince Mar 1, 2022 Accepting new patients

Locations

789 Main St
Ste 3
Gt Barrington, MA 01230
Phone (413) 528-2880

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1215263991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154",
            "city": "HOUSATONIC",
            "state": "MA",
            "postal_code": "012360154",
            "telephone_number": "413-717-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOLYOKE ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402709",
            "telephone_number": "413-532-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINERS",
        "first_name": "COLLIN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-30",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.