Joe a. Reynolds, OD, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JOE A. REYNOLDS, OD, INC.

Practice address

1212 Grand Ave Ste 14
Billings, MT 59102-4259

Phone

(406) 259-6786

NPI assigned

Oct 30, 2018

Last updated

Dec 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Alvin Reynolds, ODNPI 1598965162

Title

President

Phone

(812) 272-6319

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Practitioners 3

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.

• Joseph Reynolds, OD

  • Optometrist
  • Billings, MT
  • NPI 1598965162
  Medicare reassignment NPD Authorized official
• Debbie M Couch, OPTICIAN

  • Optician
  • Billings, MT
  • NPI 1437585072
  NPD (past)
• Marsha Price

  • Optician
  • Billings, MT
  • NPI 1407036007
  NPD (past)

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1346717113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 MEADOWCREST DR",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400476486",
            "telephone_number": "812-272-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 GRAND AVE STE 14",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024259",
            "telephone_number": "406-259-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE A. REYNOLDS, OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-272-6319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598965162",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Billings, MT
• Providers in Billings, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.