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

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

Other identifiers 1

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

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 and National Provider Directory roles.

• Killeen Eye Associates, P.a.

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

  • 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347125201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Lynn Repsher, PA-C
• Restorative Hope Sanctuary
• 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.