Mariana Wilde Reid, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2869 Issued in CO

Practice address

3745 Dacoro LN Ste 100
Castle Rock, CO 80109-2514

Phone

(303) 660-6005

NPI assigned

Aug 16, 2011

Last updated

Jan 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• One Hour Optical Medical Services, PC

  dba One Hour Optical

  • Optometrist
  • Denver, CO
  • NPI 1770648297
  Medicare reassignment
• Reid Optometry, PC

  • Eyewear Supplier
  • Castle Rock, CO
  • NPI 1467796292
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1407135825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 DACORO LN STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801092514",
            "telephone_number": "303-660-6005",
            "fax_number": "303-660-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 DACORO LN STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801092514",
            "telephone_number": "303-660-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "MARIANA",
        "middle_name": "WILDE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsti Lynn Reese, CCC-SLP
• Refresh Snoring and Sleep Apnea Center, PC
• Micah Leboeuf Reich, MOT, OTR/L
• Sheryl Reicher, N.P.
• Reid Optometry, PC
• Ryan T. Reid, OD
• Patrick James Reilly, D.M.D
• Tina Reiner
• Jacob Paul Reinhart, M.D.
• Sarah Reynolds, CCC-SLP

• Optometrist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.