Individual provider Active NPI

Richard Wayne Reed, O.D.

  • Optometrist
  • Pensacola, FL
National Provider Identifier
1285712737
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2923 Issued in FL
Practice address
113 Palafox PL
Pensacola, FL 32502-5629
Phone
(850) 434-2060
Fax
(850) 434-1830
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP2923 FL Primary

Addresses

Primary practice location

113 Palafox PL
Pensacola, FL 32502-5629

Mailing address

113 Palafox PL
Pensacola, FL 32502-5629
Phone (850) 434-2060

Other practice location 1

5593 Stewart St
Milton, FL 32570-4344
Phone (850) 623-0319

Other practice location 2

1757 Memorial Trail
Eglin Air Force Base, FL 32542
Phone (850) 651-8180

Other practice location 3

800 N Fairfield Dr
Pensacola, FL 32506-4313
Phone (850) 456-5059

Other identifiers 2

IdentifierTypeStateIssuer
20635OtherFLFLORIDA BLUE
101275200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110331000345 FL Practitioner - Optometry 3577746387 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP2923FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Gene Terrezza,O.D. & Associates,P.a. Optometrist CurrentSince Jan 4, 2019 Accepting new patients
Gene Terrezza OD and Associates PA Optometrist CurrentSince Jan 4, 2019 Accepting new patients

Locations

5593 Stewart St
Milton, FL 32570
Phone (850) 623-0319

113 Palafox Pl
Pensacola, FL 32502
Phone (850) 434-2060

800 N Fairfield Dr
Pensacola, FL 32506
Phone (850) 453-5059

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, 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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1285712737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 PALAFOX PL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025629",
            "telephone_number": "850-434-2060",
            "fax_number": "850-434-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 PALAFOX PL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025629",
            "telephone_number": "850-434-2060",
            "fax_number": "850-434-1830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5593 Stewart St",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "325704344",
            "country_code": "US",
            "telephone_number": "850-623-0319",
            "fax_number": "850-626-9686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1757 Memorial Trail",
            "address_purpose": "LOCATION",
            "city": "Eglin Air Force Base",
            "state": "FL",
            "postal_code": "32542",
            "country_code": "US",
            "telephone_number": "850-651-8180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 N Fairfield Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325064313",
            "country_code": "US",
            "telephone_number": "850-456-5059",
            "fax_number": "850-456-0461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "RICHARD",
        "middle_name": "WAYNE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP2923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "20635",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101275200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.