Active NPI
Randall N. Reichle, O.D.
- Optometrist
- Bellaire, TX
National Provider Identifier
1477556736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2355TG
- Practice address
- 6565 West Loop S
Suite 650
Bellaire, TX 77401-3500 - Phone
- (713) 797-1010
- Fax
- (713) 357-7276
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2355TG | TX | Primary |
Addresses
Primary practice location
6565 West Loop S
Suite 650
Bellaire, TX 77401-3500
Mailing address
6565 West Loop S
Suite 650
Bellaire, TX 77401-3500
Phone (713) 797-1010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121641805 | Medicaid | TX | |
| 121641806 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2355TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jed Lee Howard PA | Past | Accepting new patients |
Interoperability endpoints
- randallreichle@eyectrtx.direct.eyemdemr.com
Organizations & group practices 1
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.
-
- Ophthalmologic Surgery Clinic/Center
- Bellaire, TX
- NPI 1003126723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1477556736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 WEST LOOP S",
"address_2": "SUITE 650",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013500",
"telephone_number": "713-797-1010",
"fax_number": "713-357-7276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 WEST LOOP S",
"address_2": "SUITE 650",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013500",
"telephone_number": "713-797-1010",
"fax_number": "713-357-7276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHLE",
"first_name": "RANDALL",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2355TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121641805",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121641806",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.