Mark Joseph Reddan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02531 Issued in MO

Practice address

900 N Highway 67
Florissant, MO 63031-2919

Phone

(314) 838-0300

Fax

(314) 838-4682

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Optometry

Education

Southern California College of Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Center IncGroup PAC ID 4183651565, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92 of 100Reported as group

Quality

95.49

Improvement activities

40

Cost

79.37

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mreddan@tecmo.intellechartdirect.net
• Direct secure messaging: mreddan@directaddress.net

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.

• Eye Center Inc

  • Ophthalmology Physician
  • Florissant, MO
  • NPI 1558429258

  Optometrist

  Medicare reassignment Care Compare group NPD
• FSC Investments, LLC

  • Ambulatory Surgical Clinic/Center
  • Florissant, MO
  • NPI 1699012682
  NPD
• Harry C Eggleston MD PC II

  • Ophthalmology Physician
  • Creve Coeur, MO
  • NPI 1194906156
  NPD (past)
• The Eye Center Inc

  • Eyewear Supplier
  • Florissant, MO
  • NPI 1932411428
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1558390229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OLD JAMESTOWN CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630341725",
            "telephone_number": "314-355-6607",
            "fax_number": "314-741-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N HIGHWAY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630312919",
            "telephone_number": "314-838-0300",
            "fax_number": "314-838-4682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 Mexico Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761668",
            "country_code": "US",
            "telephone_number": "314-838-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDAN",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "257404410",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RCG Health Services LLC
• Reaching Back Enteprise LLC
• Timothy P Rearden, MD
• Zachary Ryan Rector
• Reddan Eye Care, Inc.
• Jordan Reddin, OTR/L
• Reddy Health and Performance Inc
• Deandre Redmond
• Nichol Janel Reeves, APRN ANP-C
• Rehab Care

• Optometrist in Florissant, MO
• Providers in Florissant, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.

Verify at the official NPI Registry.