Organization Active NPI

Dr. Reising and Burkhart

  • Optometrist
  • Richmond, IN
National Provider Identifier
1619146131
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. REISING AND BURKHART
Practice address
1900 E Main St
Richmond, IN 47374-5708
Phone
(765) 962-2243
Fax
(765) 966-6199
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Missy Dunn
Title
Mangager
Phone
(765) 962-2243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1900 E Main St
Richmond, IN 47374-5708

Mailing address

1900 E Main St
Richmond, IN 47374-5708
Phone (765) 962-2243

Other identifiers 1

IdentifierTypeStateIssuer
100256230MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080730000326 IN Part B Supplier - Clinic/Group Practice 5890869556 Receives reassigned benefits from 3 practitioners
Practice locations: Richmond, IN
O20100930031086 IN DME Supplier - Physician - OptometristDME Supplier - Optician 5890869556 Practice locations: Richmond, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
DRS Reising & Burkhart1900 E Main St, Richmond, IN 47374-5708(765) 962-2243 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Sep 15, 2008

National Provider Directory

National Provider Directory

Locations

1900 E Main St
Richmond, IN 47374
Phone (765) 962-2243

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1619146131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745708",
            "telephone_number": "765-962-2243",
            "fax_number": "765-966-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745708",
            "telephone_number": "765-962-2243",
            "fax_number": "765-966-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. REISING AND BURKHART",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MISSY",
        "authorized_official_title_or_position": "MANGAGER",
        "authorized_official_telephone_number": "765-962-2243"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100256230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.