Individual provider Active NPI

Charles Thomas Reeder

  • Cornea and External Diseases Specialist Physician
  • Huntsville, AL
National Provider Identifier
1467071589
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
MD51848 Issued in AL
Practice address
3501 Memorial Pkwy SW Ste 200
Huntsville, AL 35801-6901
Phone
(256) 521-5635
NPI assigned
Apr 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X MD51848 AL Primary
Ophthalmology Physician 207W00000X MD219078 OR
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3501 Memorial Pkwy SW Ste 200
Huntsville, AL 35801-6901

Mailing address

3501 Memorial Pkwy SW Ste 200
Huntsville, AL 35801-6901
Phone (256) 533-0315

Other practice location 1

2415 Helton Dr Ste A
Florence, AL 35630-1023
Phone (256) 533-0315

Other practice location 2

1040 NW 22nd Ave Ste 168
Portland, OR 97210-3036
Phone (503) 413-7022

Other practice location 3

1744 Logans Knl NE
Atlanta, GA 30329-4100
Phone (404) 668-1015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240703000852 OR Practitioner - Ophthalmology 0042634206 Reassigns benefits to 2 organizations
I20250918003993 AL Practitioner - Ophthalmology 0042634206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maynor and Mitchell Eye Center PCGroup PAC ID 1759300304, 10 clinicians

Practice addresses (Care Compare)

3501 Memorial Pkwy SW
Suite 200
Huntsville, AL 35801-6901
Phone (256) 533-0315

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.34 of 100Reported as group
Quality
92.55
Promoting interoperability
100
Improvement activities
40
Cost
76.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Emanuel Hospital & Health Center CurrentSince Jun 18, 2024 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Jun 18, 2024 Accepting new patients
Maynor & Mitchell Eye Center PC Ophthalmology CurrentSince Sep 1, 2025 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Jun 18, 2024 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Jun 18, 2024 Accepting new patients

Locations

2415 Helton Dr
Ste A
Florence, AL 35630
Phone (256) 533-0315

3501 Memorial Pkwy SW
Ste 200
Huntsville, AL 35801
Phone (256) 533-0315

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022

300 N Graham St
Ste 300
Portland, OR 97227
Phone (503) 280-3620

Interoperability endpoints

  • Direct secure messaging: creeder@mmec.intellechartdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1467071589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 MEMORIAL PKWY SW STE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016901",
            "telephone_number": "256-533-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 MEMORIAL PKWY SW STE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016901",
            "telephone_number": "256-521-5635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2415 Helton Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356301023",
            "country_code": "US",
            "telephone_number": "256-533-0315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1040 NW 22nd Ave Ste 168",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972103036",
            "country_code": "US",
            "telephone_number": "503-413-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1744 Logans Knl NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303294100",
            "country_code": "US",
            "telephone_number": "404-668-1015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEDER",
        "first_name": "CHARLES",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "AL",
            "license": "MD51848",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD219078",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.