Kirk T Reed, O D

Primary specialty

OptometristTaxonomy code 152W00000X

License

00897 Issued in AZ

Practice address

20715 E Ocotillo Rd Ste 101
Queen Creek, AZ 85142-6118

Phone

(480) 987-3400

Fax

(480) 987-3406

NPI assigned

Jan 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Pacific University - College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kirk T Reed O D P CGroup PAC ID 0840340816, 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.

• Kirk T Reed O D P C

  • Optometrist
  • Queen Creek, AZ
  • NPI 1750522876
  Medicare reassignment Care Compare group NPD Authorized official
• Darren Elg, O D LLC

  • Optometrist
  • Queen Creek, AZ
  • NPI 1407097413
  NPD

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1497735294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20715 E OCOTILLO RD STE 101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426118",
            "telephone_number": "480-987-3400",
            "fax_number": "480-987-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20715 E OCOTILLO RD STE 101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426118",
            "telephone_number": "480-987-3400",
            "fax_number": "480-987-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KIRK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "00897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750522876",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179532",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.
• 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.