Individual provider Active NPI

Joseph A Reichert, OD

  • Optometrist
  • El Reno, OK
National Provider Identifier
1316022197
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
986 Issued in OK
Practice address
1512 W Elm St
El Reno, OK 73036-4913
Phone
(405) 262-2354
Fax
(405) 262-2451
NPI assigned
Oct 27, 2006
Last updated
Feb 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 986 OK Primary

Addresses

Primary practice location

1512 W Elm St
El Reno, OK 73036-4913

Mailing address

1512 W Elm St
El Reno, OK 73036-4913
Phone (405) 262-2354

Other identifiers 3

IdentifierTypeStateIssuer
5690100OtherOKFIRST HEALTH
731219351OtherOKVSP
410015825OtherOKRAILROAD MEDICARE

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
I20100505000766 OK Practitioner - Optometry 1557499969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1512 W Elm St
El Reno, OK 73036-4913
Phone (405) 262-2354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
986OKMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingfisher Eye Clinic Inc Optometrist CurrentSince May 28, 1993 Accepting new patients
Reichert Reichert Optometrists a Professional Corporation Optometrist CurrentSince Jul 1, 1981 Accepting new patients

Locations

1512 W Elm St
El Reno, OK 73036
Phone (405) 262-2354

824 S Main St
Kingfisher, OK 73750
Phone (405) 375-5994

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1316022197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 W ELM ST",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730364913",
            "telephone_number": "405-262-2354",
            "fax_number": "405-262-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 W ELM ST",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730364913",
            "telephone_number": "405-262-2354",
            "fax_number": "405-262-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHERT",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5690100",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "731219351",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410015825",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

Verify at the official NPI Registry.