Individual provider Active NPI

Kristen Elizabeth Reinard, O.D

  • Optometrist
  • Scottsbluff, NE
National Provider Identifier
1366972044
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1470 Issued in NE
Practice address
820 W 42ND St
Scottsbluff, NE 69361-4704
Phone
(308) 635-0800
NPI assigned
Jun 15, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1470 NE Primary

Addresses

Primary practice location

820 W 42ND St
Scottsbluff, NE 69361-4704

Mailing address

820 W 42ND St
Scottsbluff, NE 69361-4704
Phone (308) 635-0800

Other practice location 1

515 Niobrara Ave
Alliance, NE 69301-3421
Phone (308) 762-3124

Other practice location 2

921 Main St
Bridgeport, NE 69336-4032
Phone (308) 262-1252

Other names 1

  • Ms. Kristen Elizabeth Davison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20170717000525 NE Practitioner - Optometry 6305116898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Webb Eyecare PCGroup PAC ID 5092039925, 3 clinicians
Jason Webb OD PCGroup PAC ID 8820083025, 3 clinicians

Practice addresses (Care Compare)

515 Niobrara Ave
Alliance, NE 69301-3421
Phone (308) 762-3124

820 W 42ND St
Scottsbluff, NE 69361-4704
Phone (308) 635-0800

820 W 42ND St
Suite 1200
Scottsbluff, NE 69361-4709

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Webb Eyecare PC Optometrist CurrentSince Jul 10, 2017 Accepting new patients
Jason Webb OD PC Optometrist CurrentSince Jul 10, 2017 Accepting new patients
Alliance Vision Source, P.C. Optometrist PastSince Jul 10, 2017 Accepting new patients

Locations

515 Niobrara Ave
Alliance, NE 69301
Phone (308) 262-1252

921 Main St
Bridgeport, NE 69336
Phone (308) 262-1252

820 W 42nd St
Ste 1200
Scottsbluff, NE 69361
Phone (308) 635-0800

Organizations & group practices 3

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366972044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W 42ND ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614704",
            "telephone_number": "308-635-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W 42ND ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614704",
            "telephone_number": "308-635-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Niobrara Ave",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "NE",
            "postal_code": "693013421",
            "country_code": "US",
            "telephone_number": "308-762-3124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "921 Main St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "NE",
            "postal_code": "693364032",
            "country_code": "US",
            "telephone_number": "308-262-1252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINARD",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "DAVISON",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.