Timothy Michael Reese, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1625 Issued in CO

Practice address

1180 Village Ridge PT
Monument, CO 80132-8992

Phone

(719) 488-9595

Fax

(719) 488-8383

NPI assigned

Aug 17, 2005

Reactivated

Apr 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Optometry

Education

Southern California College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reese Eye Care Specialists, LLC

  dba Premier Vision

  • Optometrist
  • Monument, CO
  • NPI 1821563396
  Medicare reassignment NPD Authorized official
• Monument Optical Plaza Inc

  dba Premier Vision

  • Optometrist
  • Monument, CO
  • NPI 1427177575
  NPD
• Eye Center of Northern Colorado, P.C.

  • Ophthalmology Physician
  • Fort Collins, CO
  • NPI 1073559605
  NPD (past)

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1346232253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 VILLAGE RIDGE PT",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328992",
            "telephone_number": "719-488-9595",
            "fax_number": "719-488-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 VILLAGE RIDGE PT",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328992",
            "telephone_number": "719-488-9595",
            "fax_number": "719-488-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08016255",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Lynn Quinn, RNC,MSN
• Lindsey Ragsdale
• Jordan Ramos
• Ramscorp Corporation
• Reese Eye Care Specialists, LLC (Premier Vision)
• Remedy Speech LLC
• Elli Rose Rettinger
• Carmen Alicia Reyes
• Madison Reyes
• Rebeca Avillanoza Reyes

• Optometrist in Monument, CO
• Providers in Monument, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.