Organization Active NPI

The Reeves Eye Institute

  • Ophthalmology Physician
  • Johnson City, TN
National Provider Identifier
1306115423
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
38547 Issued in TN
Legal business name
THE REEVES EYE INSTITUTE
Practice address
2328 Knob Creek Rd
Suite 506
Johnson City, TN 37604-2584
Phone
(423) 722-1311
Fax
(423) 926-0529
NPI assigned
Dec 19, 2011
Last updated
Mar 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Dr. Donny L Reeves, M.D.NPI 1558390385
Title
Owner
Phone
(423) 722-1311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 38547 TN Primary

Addresses

Primary practice location

2328 Knob Creek Rd
Suite 506
Johnson City, TN 37604-2584

Mailing address

2328 Knob Creek Rd
Suite 506
Johnson City, TN 37604-2584
Phone (423) 722-1311

Other identifiers 2

IdentifierTypeStateIssuer
3895953OtherMEDICARE
010089018MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120215000724 TN Part B Supplier - Clinic/Group Practice 7113185406 Receives reassigned benefits from 4 practitioners
Practice locations: Johnson City, TN
O20141208000260 VA Part B Supplier - Clinic/Group Practice 7113185406 Receives reassigned benefits from 2 practitioners
Practice locations: Norton, VA

National Provider Directory

National Provider Directory

Locations

2328 Knob Creek Rd
Ste 500
Johnson City, TN 37604
Phone (423) 722-1310

2328 Knob Creek Rd
Ste 506
Johnson City, TN 37604
Phone (423) 722-1131

2685 Boones Creek Rd
Ste 102
Johnson City, TN 37615
Phone (423) 722-1311

444 Clinchfield St
Ste 104
Kingsport, TN 37660
Phone (423) 722-1311

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1306115423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 KNOB CREEK RD",
            "address_2": "SUITE 506",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042584",
            "telephone_number": "423-722-1311",
            "fax_number": "423-926-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 KNOB CREEK RD",
            "address_2": "SUITE 506",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042584",
            "telephone_number": "423-722-1311",
            "fax_number": "423-926-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REEVES EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "DONNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-722-1311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "38547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3895953",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010089018",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.