Individual provider Active NPI

Joseph Reynolds, OD

  • Optometrist
  • Billings, MT
National Provider Identifier
1598965162
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3381 Issued in MT
Practice address
1212 Grand Ave Ste 14
Billings, MT 59102
Phone
(406) 259-6786
NPI assigned
Jul 23, 2007
Last updated
Dec 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003472A IN
Optometrist 152W00000X 1708DT KY
Optometrist 152W00000X 3381 MT Primary

Addresses

Primary practice location

1212 Grand Ave Ste 14
Billings, MT 59102

Mailing address

1212 Grand Ave Ste 14
Billings, MT 59102-4259
Phone (406) 259-6786

Other practice location 1

4747 Dixie Hwy
Louisville, KY 40216-2653
Phone (502) 447-2020

Other practice location 2

1212 Grand Ave Ste 14
Billings, MT 59102
Phone (406) 259-6786

Other identifiers 1

IdentifierTypeStateIssuer
1598965162MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20190117001903 MT Practitioner - Optometry 3173618790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1212 Grand Ave
Suite 14
Billings, MT 59102-4259
Phone (406) 259-6786

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003472AINMDOptometrist
3381MTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Joe a. Reynolds, OD, Inc. Optometrist CurrentSince Nov 1, 2018 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Marion Opticans PastSince Jan 1, 2019 Accepting new patients

Locations

1212 Grand Ave
Ste 14
Billings, MT 59102
Phone (406) 259-6786

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1598965162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 GRAND AVE STE 14",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024259",
            "telephone_number": "406-259-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 GRAND AVE STE 14",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "59102",
            "telephone_number": "406-259-6786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4747 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402162653",
            "country_code": "US",
            "telephone_number": "502-447-2020",
            "fax_number": "502-447-3083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 Grand Ave Ste 14",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "59102",
            "country_code": "US",
            "telephone_number": "406-259-6786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JOSEPH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003472A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1708DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "3381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598965162",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.