Jennifer Ann Reilly, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5133 Issued in MA

Practice address

4199 Washington St
2
Roslindale, MA 02131-1733

Phone

(617) 323-7300

NPI assigned

Feb 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Ann Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Children'S Hospital Corporation

  • Children's Hospital
  • Boston, MA
  • NPI 1710087127
  NPD
• New England Eye Institute Inc.

  • Optometrist
  • Boston, MA
  • NPI 1487607388
  NPD

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1548628811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 WASHINGTON ST",
            "address_2": "2",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 WASHINGTON ST",
            "address_2": "2",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311733",
            "telephone_number": "617-323-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WILLIAMS",
            "middle_name": "ANN",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Desiree Reed
• Katherine Marie Reed, PA-C
• Cynthia Reeves
• Emily Regier, MD
• Jonathan Regis
• Tina Boucher Reilly, RD, LDN
• Reis Acupuncture and Wellness
• Resil Medical Associates PC
• Veronica Reyes
• Romina Rezaian, DDS

• Optometrist in Roslindale, MA
• Providers in Roslindale, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.