Individual provider Active NPI

Todd Aaron Reiter, O.D.

  • Corneal and Contact Management Optometrist
  • El Paso, TX
National Provider Identifier
1508978776
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3980 Issued in TX
Practice address
8401 Gateway Blvd W
Cielo Vista Mall - Space F5A
El Paso, TX 79925-5657
Phone
(915) 779-0683
Fax
(915) 779-7151
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 3980 TX Primary

Addresses

Primary practice location

8401 Gateway Blvd W
Cielo Vista Mall - Space F5A
El Paso, TX 79925-5657

Mailing address

8401 Gateway Blvd W
Cielo Vista Mall - Space F5A
El Paso, TX 79925-5657
Phone (915) 779-0683

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3980TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Visione 360 PA PastSince Nov 28, 2009 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508978776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 GATEWAY BLVD W",
            "address_2": "CIELO VISTA MALL - SPACE F5A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255657",
            "telephone_number": "915-779-0683",
            "fax_number": "915-779-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 GATEWAY BLVD W",
            "address_2": "CIELO VISTA MALL - SPACE F5A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255657",
            "telephone_number": "915-779-0683",
            "fax_number": "915-779-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITER",
        "first_name": "TODD",
        "middle_name": "AARON",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "3980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.