Individual provider Active NPI

Joanna Reed

  • Optometrist
  • Ardmore, OK
National Provider Identifier
1285017293
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3006 Issued in OK
Practice address
1201 Kiowa St Ste a
Ardmore, OK 73401-2246
Phone
(580) 223-8585
Fax
(580) 223-8588
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8668T TX
Optometrist 152W00000X 3006 OK Primary

Addresses

Primary practice location

1201 Kiowa St Ste a
Ardmore, OK 73401-2246

Mailing address

PO Box 547
Mineola, TX 75773-0547
Phone (903) 569-5432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20180920002355 OK Practitioner - Optometry 7618286055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Reed Eye Care Associates CompanyGroup PAC ID 5799035101, 3 clinicians

Practice addresses (Care Compare)

1201 Kiowa St
Suite a
Ardmore, OK 73401-2246
Phone (580) 223-8585

1201 Kiowa St a
Ardmore, OK 73401-2246

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3006OKMDChiropractor
8668TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Reed Eye Care Associates Company Optometrist CurrentSince Aug 1, 2018 Accepting new patients
RLP Eyecare PC Optometrist PastSince Aug 1, 2018 Accepting new patients

Locations

1201 Kiowa St
#A
Ardmore, OK 73401
Phone (580) 223-8585

Organizations & group practices 2

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1285017293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757730547",
            "telephone_number": "903-569-5432",
            "fax_number": "903-569-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 KIOWA ST STE A",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012246",
            "telephone_number": "580-223-8585",
            "fax_number": "580-223-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JOANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8668T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.