Individual provider Active NPI

Robert Ricardo Reasoner, O.D.

  • Optometrist
  • Dayton, OH
National Provider Identifier
1548619026
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.6491 Issued in OH
Practice address
4100 W 3Rd St
Dayton, OH 45428-9000
Phone
(937) 268-6511
NPI assigned
Jun 6, 2016
Last updated
Jun 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.6491 OH Primary

Addresses

Primary practice location

4100 W 3Rd St
Dayton, OH 45428-9000

Mailing address

3111 Fishinger Rd
Columbus, OH 43221-4721
Phone (614) 915-4412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20170804000943 CT Practitioner - Optometry 2163793456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Northeast, PCGroup PAC ID 8729115340, 3 clinicians

Practice addresses (Care Compare)

5 Kennedy Dr
Putnam, CT 06260-1939
Phone (860) 928-0414

Merit-based Incentive Payment System (MIPS)

Final score
93.96 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.6491OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a Fichman MD PC CurrentSince Jul 17, 2017 Accepting new patients
Eye Care Northeast, PC CurrentSince Nov 6, 2023 Accepting new patients
Richard a. Fichman, MD PC Optometrist CurrentSince Jul 17, 2017 Accepting new patients

Locations

178 Hartford Rd
Manchester, CT 06040
Phone (860) 649-9973

5 Kennedy Dr
Putnam, CT 06260
Phone (860) 928-0414

881 New Harwinton Rd
Torrington, CT 06790
Phone (860) 482-0600

16 Walnut St
Willimantic, CT 06226
Phone (860) 423-2565

Interoperability endpoints

  • Direct secure messaging: rreasoner@ecne.emadirect.md

Organizations & group practices 3

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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1548619026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 FISHINGER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432214721",
            "telephone_number": "614-915-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454289000",
            "telephone_number": "937-268-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REASONER",
        "first_name": "ROBERT",
        "middle_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.6491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.