Individual provider Active NPI

Karen Lynn Higashi-Reynolds, O.D.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1528164589
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CO1914 Issued in CO
Practice address
1910 Vindicator Dr
Suite 102
Colorado Springs, CO 80919-3623
Phone
(719) 590-1744
NPI assigned
Sep 16, 2006
Last updated
Sep 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CO1914 CO Primary

Addresses

Primary practice location

1910 Vindicator Dr
Suite 102
Colorado Springs, CO 80919-3623

Mailing address

1910 Vindicator Dr
Suite 102
Colorado Springs, CO 80919-3623
Phone (719) 590-1744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20091014000309 CO Practitioner - Optometry 6002952579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1910 Vindicator Dr
Suite 102
Colorado Springs, CO 80919-3618
Phone (719) 590-1744

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO1914COMDOptometrist
1914COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care of Colorado, P.C. Optometrist Past Accepting new patients

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1528164589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 VINDICATOR DR",
            "address_2": "SUITE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193623",
            "telephone_number": "719-590-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 VINDICATOR DR",
            "address_2": "SUITE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193623",
            "telephone_number": "719-590-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGASHI-REYNOLDS",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO1914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.