Individual provider Active NPI

Kate Jackstadt Reidell, O.D.

  • Optometrist
  • Plattsburgh, NY
National Provider Identifier
1588950588
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007731 Issued in NY
Practice address
450 Margaret St
Plattsburgh, NY 12901-1755
Phone
(518) 566-2020
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007731 NY Primary

Addresses

Primary practice location

450 Margaret St
Plattsburgh, NY 12901-1755

Mailing address

450 Margaret St
Plattsburgh, NY 12901-1755
Phone (518) 566-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110714000145 NY Practitioner - Optometry 7315115532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

450 Margaret St
Plattsburgh, NY 12901-1755
Phone (518) 566-2020

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
69.52
Improvement activities
40
Cost
79.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care for the Adirondacks Associates in Ophthalmology, PC CurrentSince Jul 1, 2011 Accepting new patients
Eye Care for the Adirondacks Associates in Ophthalmology PC CurrentSince Jul 1, 2011 Accepting new patients

Locations

450 Margaret St
Ste 2
Plattsburgh, NY 12901

450 Margaret St
Plattsburgh, NY 12901
Phone (518) 561-5180

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1588950588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MARGARET ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011755",
            "telephone_number": "518-566-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MARGARET ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011755",
            "telephone_number": "518-566-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDELL",
        "first_name": "KATE",
        "middle_name": "JACKSTADT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.