Organization Active NPI

Reeves Eye Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Johnson City, TN
National Provider Identifier
1376886887
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
38547 Issued in TN
Legal business name
REEVES EYE SURGERY CENTER LLC
Practice address
2328 Knob Creek Rd
Suite 500
Johnson City, TN 37604
Phone
(423) 722-1310
Fax
(423) 926-0529
NPI assigned
Apr 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Donny L Reeves, MDNPI 1558390385
Title
President
Phone
(423) 722-1311

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
Ambulatory Surgical Clinic/Center 261QA1903X 38547 TN Primary

Addresses

Primary practice location

2328 Knob Creek Rd
Suite 500
Johnson City, TN 37604

Mailing address

2328 Knob Creek Rd
Suite 500
Johnson City, TN 37604
Phone (423) 722-1310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130722000448 TN Part B Supplier - Ambulatory Surgical Center 2264673037 Receives reassigned benefits from 2 practitioners
Practice locations: Johnson City, TN

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Reeves Eye Surgery CenterCCN 44C0001185
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2057013Reeves Eye Surgery Center LLC2328 Knob Creek Rd Ste #500, Johnson City, TN 37604Certificate of waiverApr 7, 2027

National Provider Directory

National Provider Directory

Locations

2328 Knob Creek Rd
Ste 500
Johnson City, TN 37604
Phone (423) 722-1310

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1376886887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 KNOB CREEK RD",
            "address_2": "SUITE 500",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-722-1310",
            "fax_number": "423-926-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 KNOB CREEK RD",
            "address_2": "SUITE 500",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-722-1310",
            "fax_number": "423-926-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEVES EYE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "DONNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-722-1311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "38547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.