Michael Dennis Reddig, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000021 Issued in PA

Practice address

32 Hummer Rd
Ephrata, PA 17522-1507

Phone

(717) 733-0148

Fax

(717) 733-3637

NPI assigned

Jun 8, 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 7

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dennis a Reddig OD and Michael D Reddig ODGroup PAC ID 8123285137, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Dennis a Reddig OD & Michael D Reddig OD

  • Optometrist
  • Ephrata, PA
  • NPI 1336145812
  Medicare reassignment Care Compare group NPD
• Lebanon Eyecare Associates

  • Optometrist
  • Lebanon, PA
  • NPI 1417953928
  NPD (past)

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1447254354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HUMMER RD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221507",
            "telephone_number": "717-733-0148",
            "fax_number": "717-733-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HUMMER RD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221507",
            "telephone_number": "717-733-0148",
            "fax_number": "717-733-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDIG",
        "first_name": "MICHAEL",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "U89583",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50034659",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "231939118",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA",
            "identifier": "U85983",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH GUARD",
            "identifier": "231939118",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "U89583",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1325255",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Archana Rajagopal Nair, MD
• Shirani David Rajan, MD MSPH
• Katherine K Ranck, MSW, LCSW
• Joanna Ratcliff, LBS
• Dennis A. Reddig, OD
• Kristen Reeser, CRNP
• Regional Gastroenterology Associates of Lancaster, LTD
• Rehabcare
• Reliant Renal Care - Ephrata,LLC
• Retreat at Lancaster County

• Optometrist in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; 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.
• 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.