Organization Active NPI

Robyn Reesman, O.D.,Inc.

  • Optometrist
  • Fort Payne, AL
National Provider Identifier
1356516611
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S821 TA429 Issued in AL
Legal business name
ROBYN REESMAN, O.D.,INC.
Practice address
2001 Glenn Blvd. SW
Fort Payne, AL 35968
Phone
(256) 997-0153
Fax
(256) 997-0155
NPI assigned
Apr 28, 2008
Last updated
Feb 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Dr. Robyn R. Reesman, O.D.NPI 1992890206
Title
President
Phone
(423) 517-0238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S821 TA429 AL Primary

Addresses

Primary practice location

2001 Glenn Blvd. SW
Fort Payne, AL 35968

Mailing address

212 Healing Bluff Rd
Chattanooga, TN 37419-1022
Phone (423) 503-3355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080404000178 AL Part B Supplier - Clinic/Group Practice 7618054461 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Payne, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1356516611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HEALING BLUFF RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374191022",
            "telephone_number": "423-503-3355",
            "fax_number": "423-517-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 GLENN BLVD. SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35968",
            "telephone_number": "256-997-0153",
            "fax_number": "256-997-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBYN REESMAN, O.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "REESMAN",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-517-0238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S821 TA429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.