Active NPI
Douglas Clayton Reber, O.D.
- Optometrist
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9549 TPA
- 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, 2012
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0095490 | Medicaid | CA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9549 TPA | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Family Health | Current | Accepting new patients | |
| Omni Family Health | Current | Accepting new patients | |
| Omni Family Health | Current | Accepting new patients | |
| Charles D. Fritch, M.D., Inc | Past | Accepting new patients | |
| Cha Medical and Surgical Group, PC | Past | Accepting new patients | |
| Omni Family Health | Past | 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
- douglas.reber.p1@direct.omnifamilyhealth.nextgenshare.com
- https://app.meldrx.com/api/fhir/imedicware_chamg
- 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.
-
- Federally Qualified Health Center (FQHC)
- Buttonwillow, CA
- NPI 1700891660
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1700804556
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1770399669
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1194209254
-
dba Fritch Eye Care Medical Center
- Ophthalmology Physician
- Bakersfield, CA
- NPI 1124200316
-
- Federally Qualified Health Center (FQHC)
- Wasco, CA
- NPI 1689688004
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.