Individual provider Active NPI

Maya Sinulingga Reid, O.D.

  • Optometrist
  • Litchfield, IL
National Provider Identifier
1225390883
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010769 Issued in IL
Practice address
110 E Ryder St
Litchfield, IL 62056-2031
Phone
(217) 324-2762
Fax
(217) 324-2762
NPI assigned
Jun 11, 2012
Last updated
May 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010769 IL Primary

Addresses

Primary practice location

110 E Ryder St
Litchfield, IL 62056-2031

Mailing address

110 E Ryder St
Litchfield, IL 62056-2031
Phone (217) 324-2762

Other identifiers 1

IdentifierTypeStateIssuer
046010769MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20141126000699 IL Practitioner - Optometry 4587986658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 E Ryder St
Litchfield, IL 62056-2031
Phone (217) 324-2762

615 N Broad St
Carlinville, IL 62626-1020
Phone (217) 854-3173

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as individual
Quality
95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Illinois Optometric Associates LTD Optometrist Current Accepting new patients
Central Illinois Optometric Associates LTD Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Springfield Clinic, LLP PastSince Jan 1, 2021 Accepting new patients

Locations

615 N Broad St
Carlinville, IL 62626
Phone (217) 854-3173

900 W Springfield Rd
Taylorville, IL 62568
Phone (217) 824-4400

900 W Springfield Rd
Ste 2
Taylorville, IL 62568
Phone (217) 287-1300

Organizations & group practices 4

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1225390883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E RYDER ST",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620562031",
            "telephone_number": "217-324-2762",
            "fax_number": "217-324-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E RYDER ST",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620562031",
            "telephone_number": "217-324-2762",
            "fax_number": "217-324-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "MAYA",
        "middle_name": "SINULINGGA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010769",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield, IL

Sources for this page

Verify at the official NPI Registry.