Individual provider Active NPI

Eric R Reisler, O.D.

  • Optometrist
  • Fort Collins, CO
National Provider Identifier
1356331839
Registry record updated Aug 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2224 Issued in CO
Practice address
702 W Drake Rd BLDG B
Fort Collins, CO 80526-5563
Phone
(970) 221-4811
Fax
(970) 221-4815
NPI assigned
Oct 25, 2005
Last updated
Aug 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2224 CO Primary

Addresses

Primary practice location

702 W Drake Rd BLDG B
Fort Collins, CO 80526-5563

Mailing address

702 W Drake Rd BLDG B
Fort Collins, CO 80526-5563
Phone (970) 221-4811

Other identifiers 2

IdentifierTypeStateIssuer
89282329MedicaidCO
540330001OtherCODMERC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110207000929 CO Practitioner - Optometry 2668671223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates, P.C.Group PAC ID 1254222037, 8 clinicians

Practice addresses (Care Compare)

702 W Drake Rd
BLDG B
Fort Collins, CO 80526-5563
Phone (970) 221-4811

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, P.C. Optometrist CurrentSince Apr 1, 2002 Accepting new patients
Eyecare Associates, P.C. Optometrist CurrentSince Apr 1, 2002 Accepting new patients

Locations

2121 E Harmony Rd
Unit 190
Fort Collins, CO 80528
Phone (970) 221-2222

702 W Drake Rd
Bldg B
Fort Collins, CO 80526
Phone (970) 221-4811

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1356331839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W DRAKE RD BLDG B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265563",
            "telephone_number": "970-221-4811",
            "fax_number": "970-221-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W DRAKE RD BLDG B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265563",
            "telephone_number": "970-221-4811",
            "fax_number": "970-221-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISLER",
        "first_name": "ERIC",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89282329",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "540330001",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.