Michael John Reyes, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6650TG Issued in TX

Practice address

3124 E Central Texas Expy
Killeen, TX 76543-7333

Phone

(254) 690-4733

Fax

(254) 690-6728

NPI assigned

Dec 22, 2005

Last updated

Jun 13, 2023By the provider in NPPES

Sex

Male

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 TX

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

Locations

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.

• Killeen Eye Associates, P.a.

  dba First Eye Care Killeen

  • Optometrist
  • Killeen, TX
  • NPI 1457594129
  Medicare reassignment NPD
• Belton Eye Care Center

  dba Belton Vision

  • Optometrist
  • Belton, TX
  • NPI 1427325968
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1437136249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 PURPLE SAGE DR",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765136506",
            "telephone_number": "254-654-3645",
            "fax_number": "254-690-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 E CENTRAL TEXAS EXPY",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765437333",
            "telephone_number": "254-690-4733",
            "fax_number": "254-690-6728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3010 E Business 190",
            "address_2": "Bldg #2, Ste #224",
            "address_purpose": "LOCATION",
            "city": "Copperas Cove",
            "state": "TX",
            "postal_code": "765222517",
            "country_code": "US",
            "telephone_number": "254-542-3937",
            "fax_number": "254-518-4335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6650TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restorative Hope Sanctuary PLLC
• Antonia Martinez Revell
• Jordan Rewis, LPC
• Eliza Reyes-Gomez
• Kristin Michelle Reyes
• Veronica Reyes
• Taffi Lee Rhoads, MASSAGE THERAPIST
• Shelbi Makayla Rhoda, COTA
• Ashley Rhodes
• Emily Rhymer

• Optometrist in Killeen, TX
• Providers in Killeen, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.