Adam Tyler Reach, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3048 Issued in TN

Practice address

4626 Mill Branch LN
Knoxville, TN 37938-3200

Phone

(865) 922-7765

Fax

(865) 922-7766

NPI assigned

Jul 18, 2012

Sex

Male

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 TN

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Halls Vision Clinic, Inc.Group PAC ID 5092890368, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Halls Vision Clinic, Inc.

  • Optometrist
  • Knoxville, TN
  • NPI 1699889899
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1225383003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 MILL BRANCH LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379383200",
            "telephone_number": "865-922-7765",
            "fax_number": "865-922-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 MILL BRANCH LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379383200",
            "telephone_number": "865-922-7765",
            "fax_number": "865-922-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REACH",
        "first_name": "ADAM",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleia Rayment, MSW-MH
• Allison Michelle Raymes
• Rayzer Sharp Enterprises Inc.
• Tatiana Razo
• Reach Kidney Care LLC
• Daniel S Read, DMD
• Ready Nest Knoxville, LLC
• Catherine Reagan
• Melissa Reagan, PHARM D.
• Phillip Matthew Reagan, CRNA

• Optometrist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.