Individual provider Active NPI

Pamela K Reichert, OD

  • Optometrist
  • El Reno, OK
National Provider Identifier
1508941394
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
987 Issued in OK
Practice address
1512 West Elm Street
El Reno, OK 73036-4900
Phone
(405) 262-2354
Fax
(405) 262-2451
NPI assigned
Oct 27, 2006
Last updated
Dec 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 987 OK Primary

Addresses

Primary practice location

1512 West Elm Street
El Reno, OK 73036-4900

Mailing address

1512 West Elm Street
El Reno, OK 73036-4900
Phone (405) 262-2354

Other identifiers 2

IdentifierTypeStateIssuer
731219351OtherOKVSP
410015826OtherOKRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20100505000798 OK Practitioner - Optometry 6204964612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1512 W Elm St
El Reno, OK 73036-4913
Phone (405) 262-2354

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
987OKMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Kingfisher Eye Clinic Inc Optometrist CurrentSince Jan 18, 2010 Accepting new patients
Reichert Reichert Optometrists a Professional Corporation Optometrist CurrentSince Jul 1, 1966 Accepting new patients

Locations

1512 W Elm St
El Reno, OK 73036
Phone (405) 262-2354

824 S Main St
Kingfisher, OK 73750
Phone (405) 375-5994

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1508941394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 WEST ELM STREET",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730364900",
            "telephone_number": "405-262-2354",
            "fax_number": "405-262-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 WEST ELM STREET",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730364900",
            "telephone_number": "405-262-2354",
            "fax_number": "405-262-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHERT",
        "first_name": "PAMELA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "731219351",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410015826",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

Verify at the official NPI Registry.