Julia Reimold, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3862 Issued in TN

Practice address

5491 Creekwood Park Blvd
Lenoir City, TN 37772-1204

Phone

(800) 500-4667

Fax

(833) 448-2983

NPI assigned

Aug 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in LA, TN2 enrollments

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 2

Specialty

Optometry

Education

Southern California College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: julia.reimold.1@20785.direct.athenahealth.com

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.

• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298
  Medicare reassignment Care Compare group NPD
• Bond Wroten Eye Clinic

  • Optometrist
  • Amite, LA
  • NPI 1639220411
  Medicare reassignment NPD
• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1548349186
  NPD
• Summit Medical Group, PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1699722470
  NPD (past)

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1245840214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091382",
            "telephone_number": "865-584-4747",
            "fax_number": "865-381-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5491 CREEKWOOD PARK BLVD",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377721204",
            "telephone_number": "800-500-4667",
            "fax_number": "833-448-2983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60007 W Way Dr",
            "address_purpose": "LOCATION",
            "city": "Amite",
            "state": "LA",
            "postal_code": "704224186",
            "country_code": "US",
            "telephone_number": "985-748-8096",
            "fax_number": "985-748-4376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1798 Roane State Hwy",
            "address_purpose": "LOCATION",
            "city": "Harriman",
            "state": "TN",
            "postal_code": "377488305",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "fax_number": "833-448-2981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1639 W Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378132832",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Cheshire Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195813",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7714 Conner Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "TN",
            "postal_code": "378493559",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REIMOLD",
        "first_name": "JULIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3862",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1917-853AT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.bondwroteneyeclinic.com",
            "affiliation": "N",
            "address_1": "1705 S Morrison Blvd",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704035737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.bondwroteneyeclinic.com",
            "affiliation": "N",
            "address_1": "60007 W Way Dr",
            "city": "Amite",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704224186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.bondwroteneyeclinic.com",
            "affiliation": "N",
            "address_1": "222 Veterans Blvd",
            "city": "Denham Springs",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707264724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sallie Ray, BS
• Joshua Reagan, BS
• Ramani Majjica Reddy, M.D., PH. D.
• Rehabcare
• Kenneth Burkhardt Rehder, D.D.S.
• Randall Reno
• Louis I Reper II, DPM
• Micah Daniel Reppuhn, DPT
• Resource Anesthesia East Tennessee
• Resource Anesthesia Lakeway Inc

• Optometrist in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.