Active NPI
Dennis A. Reddig, OD
- Optometrist
- Ephrata, PA
National Provider Identifier
1477559573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000564
- Practice address
- 32 Hummer Rd
Ephrata, PA 17522-1507 - Phone
- (717) 733-0148
- Fax
- (717) 733-3637
- NPI assigned
- Jun 23, 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 | OEG000564 | PA | Primary |
Addresses
Primary practice location
32 Hummer Rd
Ephrata, PA 17522-1507
Mailing address
32 Hummer Rd
Ephrata, PA 17522-1507
Phone (717) 733-0148
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T28448 | Other | PA | HEALTHAMERICA/HEATHASSURA |
| 231939118 | Other | PA | VISION SERVICE PLAN |
| RE92611 | Other | PA | HIGHMARK BLUE SHIELD |
| T28448 | Other | PA | HEALTHGUARD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1477559573",
"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": "DENNIS",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA/HEATHASSURA",
"identifier": "T28448",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION SERVICE PLAN",
"identifier": "231939118",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "RE92611",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHGUARD",
"identifier": "T28448",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.