John William Reski, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

3269ATI Issued in OR

Practice address

15259 SE 82ND Dr
Suite 101
Clackamas, OR 97015-6609

Phone

(503) 657-0321

Fax

(503) 657-7066

NPI assigned

Jun 26, 2008

Last updated

Jun 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

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 2

Specialty

Optometry

Education

Pacific University - College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Eye Care LLCGroup PAC ID 7416265194, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

60 of 100Reported as group

Quality

20

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northwest Eye Care LLC

  dba Northwest Eye Care Professionals

  • Optometrist
  • Clackamas, OR
  • NPI 1669856902

  WA

  Medicare reassignment Care Compare group
• Bruce R Wojciechowski

  dba Northwest Eye Care Professionals

  • Optometrist
  • Clackamas, OR
  • NPI 1699976530
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1326200809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15259 SE 82ND DR",
            "address_2": "SUITE 101",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156609",
            "telephone_number": "503-657-0321",
            "fax_number": "503-657-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15259 SE 82ND DR",
            "address_2": "SUITE 101",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156609",
            "telephone_number": "503-657-0321",
            "fax_number": "503-657-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESKI",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OR",
            "license": "3269ATI",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "WA",
            "license": "OD60026416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Scott Reid, M.D.
• Jenelle Reid, OTR/L
• Adam Todd Reinstein, LCSW
• Heather Brooks Rensmith, LCSW
• Tamie Resare
• Susan Schaumburg Restic, DMD
• Jonathan Allyn Rettmann, M.D.
• Reviance Portland, LLC
• Christina Reyes-Fimbres, AUD
• Fern Jennifer G Reyes, MPH, RD,

• Vision Therapy Optometrist in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Vision Therapy Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.

Verify at the official NPI Registry.