Active NPI
Paul E Reimer, OD
- Optometrist
- Emporia, KS
National Provider Identifier
1225017924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1384
- Practice address
- 512 Commercial St
Emporia, KS 66801-4006 - Phone
- (620) 343-7120
- Fax
- (620) 343-2038
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1384 | KS | Primary |
Addresses
Primary practice location
512 Commercial St
Emporia, KS 66801-4006
Mailing address
512 Commercial St
Emporia, KS 66801-4006
Phone (620) 343-7120
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100219520A | Medicaid | KS | |
| 410029055 | Other | KS | RAILROAD MEDICARE |
| 0632550001 | Other | KS | DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1384 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253750400000",
"number": "1225017924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 COMMERCIAL ST",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668014006",
"telephone_number": "620-343-7120",
"fax_number": "620-343-2038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 COMMERCIAL ST",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668014006",
"telephone_number": "620-343-7120",
"fax_number": "620-343-2038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIMER",
"first_name": "PAUL",
"middle_name": "E",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2009-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100219520A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410029055",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0632550001",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Emporia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.