Individual provider Active NPI

Douglas Clayton Reber, O.D.

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1245211465
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9549 TPA Issued in CA
Practice address
525 Roberts LN
Oildale Comm Health Center, Optometry
Bakersfield, CA 93308-4799
Phone
(661) 392-7850
Fax
(661) 399-2819
NPI assigned
Nov 7, 2005
Last updated
Jan 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9549 TPA CA Primary

Addresses

Primary practice location

525 Roberts LN
Oildale Comm Health Center, Optometry
Bakersfield, CA 93308-4799

Mailing address

525 Roberts LN
Oildale Comm Health Center, Optometry
Bakersfield, CA 93308-4799
Phone (661) 392-7850

Other identifiers 1

IdentifierTypeStateIssuer
SD0095490MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20151027003196 CA Practitioner - Optometry 5092024356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Family HealthGroup PAC ID 9234176363, 93 clinicians

Practice addresses (Care Compare)

2101 7TH St
Suite a F
Wasco, CA 93280-1502
Phone (866) 707-6664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9549 TPACAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince Aug 1, 2015 Accepting new patients
Omni Family Health Current Accepting new patients
Omni Family Health CurrentSince Aug 1, 2015 Accepting new patients
Charles D. Fritch, M.D., Inc Past Accepting new patients
Cha Medical and Surgical Group, PC PastSince Nov 18, 2018 Accepting new patients
Omni Family Health PastSince Jun 29, 2025 Accepting new patients

Locations

1701 Stine Rd
Bakersfield, CA 93309
Phone (661) 770-3317

4600 Panama Ln
Unit 102B
Bakersfield, CA 93313
Phone (661) 630-7732

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

525 Roberts Ln
Bakersfield, CA 93308
Phone (661) 392-7850

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

2101 7th St
Bldg Af
Wasco, CA 93280

Interoperability endpoints

  • Direct secure messaging: douglas.reber.p1@direct.omnifamilyhealth.nextgenshare.com
  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_chamg
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ZovcCzFH9WoaIYAtfnADtCEJJqhJ7vbO/

Organizations & group practices 6

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1245211465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROBERTS LN",
            "address_2": "OILDALE COMM HEALTH CENTER, OPTOMETRY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933084799",
            "telephone_number": "661-392-7850",
            "fax_number": "661-399-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROBERTS LN",
            "address_2": "OILDALE COMM HEALTH CENTER, OPTOMETRY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933084799",
            "telephone_number": "661-392-7850",
            "fax_number": "661-399-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBER",
        "first_name": "DOUGLAS",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9549 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0095490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.