Individual provider Active NPI

Kelly Anne Reed, OD

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1265091326
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002468 Issued in AZ
Practice address
7245 E Osborn Rd Ste 4
Scottsdale, AZ 85251-6443
Phone
(480) 994-5012
Fax
(480) 994-9479
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1020 NV
Optometrist 152W00000X OPT-002468 AZ Primary

Addresses

Primary practice location

7245 E Osborn Rd Ste 4
Scottsdale, AZ 85251-6443

Mailing address

2111 E Highland Ave Ste B240
Phoenix, AZ 85016-4741
Phone (480) 994-5012

Other practice location 1

23390 W Yuma Rd Ste 101
Buckeye, AZ 85326-3116
Phone (623) 215-9920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20201028002321 AZ Practitioner - Optometry 1850701038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Ophthalmologists LTDGroup PAC ID 8325024805, 17 clinicians

Practice addresses (Care Compare)

300 E Osborn Rd
Suite 100
Phoenix, AZ 85012-2347
Phone (602) 254-7255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1020NVMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Eyecare Center Optometrist CurrentSince Oct 21, 2020 Accepting new patients
Associated Ophthalmologists LTD Ophthalmology CurrentSince Jan 15, 2023 Accepting new patients
John H McDougall OD Arizona PC Optometrist PastSince Oct 21, 2020 Accepting new patients

Locations

23480 N Sundance Pkwy
Ste 101
Buckeye, AZ 85326
Phone (480) 994-5012

5620 W Thunderbird Rd
Ste H3
Glendale, AZ 85306
Phone (480) 994-5012

5620 W Thunderbird Rd
Ste B1
Glendale, AZ 85306
Phone (602) 938-2422

13555 W McDowell Rd
Ste 102
Goodyear, AZ 85395
Phone (623) 200-0020

21300 N John Wayne Pkwy
Ste 105
Maricopa, AZ 85139
Phone (520) 201-3937

300 E Osborn Rd
Ste 100
Phoenix, AZ 85012
Phone (602) 200-0770

7373 N Scottsdale Rd
Ste D100
Scottsdale, AZ 85253

7245 E Osborn Rd
Ste 4
Scottsdale, AZ 85251
Phone (480) 994-5012

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1265091326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 E HIGHLAND AVE STE B240",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164741",
            "telephone_number": "480-994-5012",
            "fax_number": "480-994-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7245 E OSBORN RD STE 4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516443",
            "telephone_number": "480-994-5012",
            "fax_number": "480-994-9479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23390 W Yuma Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853263116",
            "country_code": "US",
            "telephone_number": "623-215-9920",
            "fax_number": "480-994-9479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2023-09-25",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1020",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.