Active NPI
Timothy Scott Reese, OD
- Optometrist
- Buckhannon, WV
National Provider Identifier
1548327075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 756D
- Practice address
- 326 Route 20 South Rd
Buckhannon, WV 26201-8963 - Phone
- (304) 472-2433
- Fax
- (304) 472-2453
- NPI assigned
- Jan 3, 2007
- 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 | 756D | WV | Primary |
Addresses
Primary practice location
326 Route 20 South Rd
Buckhannon, WV 26201-8963
Mailing address
326 Route 20 South Rd
Buckhannon, WV 26201-8963
Phone (304) 472-2433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0150777000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111122000534 | WV | Practitioner - Optometry | 8123131588 | Practice locations: Buckhannon, WV |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
326 Route 20 S Rd
Buckhannon, WV 26201-8963
Phone (304) 472-2433
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 32 |
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": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1548327075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 ROUTE 20 SOUTH RD",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262018963",
"telephone_number": "304-472-2433",
"fax_number": "304-472-2453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 ROUTE 20 SOUTH RD",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262018963",
"telephone_number": "304-472-2433",
"fax_number": "304-472-2453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "TIMOTHY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "756D",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0150777000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buckhannon, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.