Gregory Reeves, O.D.
Individual provider Active NPI Optometrist · Somerville, TN
NPI 1366460727 · NPPES record last updated Jan 13, 2011
Key facts
- NPI
- 1366460727
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2674 (TN)
- Practice address
- 105 E Market St
Somerville, TN 38068-1407 - Phone
- (901) 465-3955
- Fax
- (901) 465-6797
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
105 E Market St
Somerville, TN 38068-1407
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 52 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070417000558 | TN | Practitioner - Optometry | 4082719299 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessup Mobile Opt TN LLC | Optometrist | Current |
Accepting new patients |
| Charles P. Haddad O.D. | Optometrist | Past | Accepting new patients |
Locations
12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693
Interoperability endpoints
- gregory.reeves.p2@direct.360care.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2674 | TN | Yes |
Addresses
Primary practice location
105 E Market St
Somerville, TN 38068-1407
Mailing address
PO Box 489
Somerville, TN 38068-0489
Phone (901) 465-3955
Other providers in Somerville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.