Active NPI
David Morgan Reynolds, OD
- Optometrist
- Kernersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1554
- Practice address
- 1027 S Main St
Kernersville, NC 27284-8186 - Phone
- (336) 996-2020
- Fax
- (336) 996-8860
- NPI assigned
- May 3, 2006
- Last updated
- Jan 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1554 | NC | Primary |
Addresses
Primary practice location
1027 S Main St
Kernersville, NC 27284-8186
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44039 | Other | DAVIS | |
| 118179 | Other | EYEMED | |
| 89093G3 | Medicaid | NC | |
| 26522 | Other | SPECTERA | |
| 093G3 | Other | NC | BCBS NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3354 W Friendly Ave
Greensboro, NC 27410-4888
Phone (336) 387-0930
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1554 | NC | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| David M Reynolds OD PC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina | Optometrist | Past | Accepting new patients |
| Precision Eye Center, OD, PLLC | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Past | Accepting new patients |
Locations
1201 Raleigh Rd
Ste E
Chapel Hill, NC 27517
Phone (919) 851-0093
1823 E Arbors Dr
Ste 325
Charlotte, NC 28262
Phone (704) 971-5000
1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332
584 Church St N
Concord, NC 28025
Phone (704) 782-0677
789 Concord Pkwy N
Concord, NC 28027
Phone (704) 788-3333
19900 W Catawba Ave
Cornelius, NC 28031
Phone (704) 892-1000
3354 W Friendly Ave
Greensboro, NC 27410
Phone (336) 387-0930
9918 Knockando Ln
Ste 140
Huntersville, NC 28078
Phone (704) 237-3910
1027 S Main St
Kernersville, NC 27284
Phone (336) 996-2020
1729 Davie Ave
Statesville, NC 28677
Phone (704) 873-0524
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 7
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.
-
- Optometrist
- Monroe, NC
- NPI 1407737182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1316905722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 S MAIN ST",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272848186",
"telephone_number": "336-996-2020",
"fax_number": "336-996-8860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "DAVID",
"middle_name": "MORGAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1554",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS",
"identifier": "44039",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "118179",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89093G3",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "26522",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "093G3",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.